Provider Demographics
NPI:1417103664
Name:GLASSER, ADRIENNE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ADRIENNE
Middle Name:
Last Name:GLASSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E 68TH ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4963
Mailing Address - Country:US
Mailing Address - Phone:917-362-9770
Mailing Address - Fax:212-838-2275
Practice Address - Street 1:7 E 68TH ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4963
Practice Address - Country:US
Practice Address - Phone:917-362-9770
Practice Address - Fax:212-838-2275
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0754131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical