KATHERINE GLICK


Address: 124 Watertown St, Suite 2-e, Watertown, MA 02472-2576
Phone: 6172720212

KATHERINE GLICK (NPI# 1376908137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376908137
Entity Type Individual
Full Name KATHERINE GLICK
Practice Address 124 Watertown St
Suite 2-e
Watertown
MA 02472-2576
Mailing Address 29 Tufts Rd
Wells
ME 04090-7426
Practice Telephone 6172720212
Mailing Telephone 6175904108
Enumeration Date 2015-12-22
Last Update Date 2015-12-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 103K00000X MA Other Service Providers

Other Providers KATHERINE GLICK

NPI Name Taxonomy Address Enumeration
1104164235 Katherine Glick Counselor 2551 E Lehigh Ave, Philadelphia, PA 19125-3831 2013-01-24
1558576710 Katherine Gallo Glick Speech-Language Pathologist 7540 Sawmill Parkway, Suite A-2, Powell, OH 43065-9845 2007-05-11
1285936369 Katherine Glick Case Manager/Care Coordinator 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 2010-11-23

Office Location

Street Address 124 WATERTOWN ST
SUITE 2-E
City WATERTOWN
State MA
Zip Code 02472-2576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740371038 Natalie Leonid Lender Psychiatry & Neurology 124 Watertown St, Suite 2 D, Watertown, MA 02472-2576 2006-09-28
1073123303 On Call Treatment, LLC Substance Abuse Rehabilitation Facility 124 Watertown St, Watertown, MA 02472-2576 2020-08-02
1306485743 Susan D'antilio Student in an Organized Health Care Education/Training Program 124 Watertown St, Watertown, MA 02472-2576 2020-01-02
1497212732 Smarthine Vilfranche Student in an Organized Health Care Education/Training Program 124 Watertown St, Watertown, MA 02472-2576 2019-02-22
1306217237 Boston Child & Adolescent Assessment LLC Psychologist 124 Watertown St, Suite 3a East, Watertown, MA 02472-2576 2015-10-19
1780053041 Katie Fucillo Behavioral Analyst 124 Watertown St, Watertown, MA 02472-2576 2015-09-16
1568845972 Brandon Alan Richard Behavioral Analyst 124 Watertown St, 3h, Watertown, MA 02472-2576 2015-07-02
1407257009 Jessica Giannone Behavioral Analyst 124 Watertown St, Watertown, MA 02472-2576 2014-09-15
1215283510 Abigail Sara Murphy Occupational Therapist 124 Watertown St, Watertown, MA 02472-2576 2012-07-24
1508162918 Jessica Pacheco Occupational Therapist 124 Watertown St, Suite 1, Watertown, MA 02472-2576 2011-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735327 Gladys Nakungu Kasansula Counselor Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 2018-10-09
1447741962 Hannah Edward Optometrist 550 Arsenal Street, Watertown, MA 02472 2018-05-21
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1376067355 Mostafa Medhati Acupuncturist 265 Lexington St., Watertown, MA 02472 2017-08-01
1003346313 Eric Trant Specialist/Technologist 50 Columbia Street, Watertown, MA 02472 2017-06-19
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1396128120 Michelle Soares Darocha Dentist 18 Hovey Street, Watertown, MA 02472 2015-06-29
1760875496 Ece Evin Yildirim Acupuncturist 557 Mt. Auburn St, Watertown, MA 02472 2015-03-05
1396140927 Fabrizia Torazzi Behavioral Analyst 51 Water Street, Suite 200, Watertown, MA 02472 2014-10-24
1265774392 Emilia Ann Fulop Social Worker 127 North Beacon Street, Watertown, MA 02472 2013-03-27
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508274549 Laura Avery Case Manager/Care Coordinator 167 Polk St Ste 240, Watertown, NY 13601-2770 2014-07-22
1639430606 Jennifer Gaffney Delozier Case Manager/Care Coordinator 326 S. Hamilton Street, B, Watertown, NY 13601-3872 2012-06-06
1790083202 Nancy T. Bradley Case Manager/Care Coordinator 263 Lexington St, Watertown, MA 02472-1165 2011-03-08
1992353437 Ashlee Anne Weldon Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2019-08-28
1154987337 Michelle Anne Wilder Case Manager/Care Coordinator 420 Gaffney Dr, Watertown, NY 13601-1823 2019-05-14
1730647488 Jamie Block Case Manager/Care Coordinator 123 19th St Ne, Watertown, SD 57201-2823 2019-03-12
1285107391 Anna Azalia Ward Case Manager/Care Coordinator 1704 State St, Watertown, NY 13601-3102 2019-01-11
1730652892 Kiara Monee' Colvin Case Manager/Care Coordinator 1704 State St, Watertown, NY 13601-3102 2019-01-10
1164994794 Desiree Michelle Torres Colon Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2018-12-20
1457823171 Donny Joe Chouinard Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2018-12-19
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Competitor

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City WATERTOWN
Zip Code 02472

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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