KATHERINE GLICK (NPI# 1376908137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | 103K00000X | MA | Other Service Providers |
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 |
Street Address |
124 WATERTOWN ST SUITE 2-E |
City | WATERTOWN |
State | MA |
Zip Code | 02472-2576 |
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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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 |
Find all providers in zip 02472 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
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] |
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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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.