Provider Demographics
NPI:1558523480
Name:GLASSMAN, SARAH JENNIFER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JENNIFER
Last Name:GLASSMAN
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 1:38 GREAT NECK RD
Mailing Address - Street 2:C/O DREAM WELLNESS
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3305
Mailing Address - Country:US
Mailing Address - Phone:516-829-8099
Mailing Address - Fax:516-829-8578
Practice Address - Street 1:38 GREAT NECK RD
Practice Address - Street 2:C/O DREAM WELLNESS
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3305
Practice Address - Country:US
Practice Address - Phone:516-829-8099
Practice Address - Fax:516-829-8578
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071757-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical