Provider Demographics
NPI:1952521973
Name:GLIK, BARBARA ELLEN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELLEN
Last Name:GLIK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:GLIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1009 CEDAR RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1927
Mailing Address - Country:US
Mailing Address - Phone:410-757-8007
Mailing Address - Fax:
Practice Address - Street 1:207 RIDGELY AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1303
Practice Address - Country:US
Practice Address - Phone:410-757-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD088421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD208700600Medicaid
MD208700600Medicaid
MD849RMedicare ID - Type UnspecifiedLCSW-C
MD046488Medicare UPIN
MD383207809Medicare UPIN
MDH2750001Medicare UPIN
MD217679Medicare UPIN
MDQF89Medicare UPIN
MD119581Medicare UPIN
MD2609862Medicare UPIN
MD231937Medicare UPIN
MD278702Medicare UPIN
MD459449000Medicare UPIN