DAVID GLICK


Address: 721 American Ave, Suite 501, Waukesha, WI 53188-5071
Phone: 2629282396

DAVID GLICK (NPI# 1992865760) 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) 1992865760
Entity Type Individual
Full Name DAVID GLICK
Credential MSW
Practice Address 721 American Ave
Suite 501
Waukesha
WI 53188-5071
Practice Telephone 2629282396
Practice Fax Number 2625441213
Mailing Telephone 2629282396
Mailing Fax Number 2625441213
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
12279 WI Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
2231-123 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39239900 05

Other Providers DAVID GLICK

NPI Name Taxonomy Address Enumeration
1235257049 David Georg Glick Plastic Surgery 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 2007-03-27
1992232292 David Claude Glick Marriage & Family Therapist 297 Cascade Dr, Fairfax, CA 94930-2132 2017-05-17
1073651725 David Mark Glick Chiropractor 7329 Boulder View Ln, Richmond, VA 23225-4953 2007-02-02
1245395466 David B Glick Anesthesiology 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-27
1497854319 David Glick Emergency Medicine 1200 N Elm St, Greensboro, NC 27401-1004 2006-09-21
1679557177 David Glick Family Medicine 401 Holly Hills Ave, Saint Louis, MO 63111-2410 2005-11-30
1962494963 David Jacob Glick Dentist 6 Frank E Rodgers Blvd N, Harrison, NJ 07029-1401 2005-08-17

Office Location

Street Address 721 AMERICAN AVE
SUITE 501
City WAUKESHA
State WI
Zip Code 53188-5071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710987987 Patrick R Helfenbein Psychiatry & Neurology 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2005-07-28
1407397938 Ryan Sershon Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2017-03-16
1346780038 Elena Striepling Nurse Practitioner 721 American Ave, Ste 508, Waukesha, WI 53188-5071 2017-03-01
1003268277 Stephanie Pattengale Counselor 721 American Ave, Ste 501, Waukesha, WI 53188-5071 2016-07-12
1295103000 Kara Pierce Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2015-09-10
1538542519 Andrew C Kennedy Physician Assistant 721 American Ave, Suite 510, Waukesha, WI 53188-5071 2015-07-08
1700271822 Jill High Nurse Practitioner 721 American Ave, Suite 410, Waukesha, WI 53188-5071 2015-04-06
1073906384 Arlene L Marcell Nurse Practitioner 721 American Ave, Suite 403, Waukesha, WI 53188-5071 2015-03-11
1174937882 Rebecca M Kinnunen Social Worker 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2014-06-20
1578977831 Jonathan Nolte Counselor 721 American Ave, Suite 501, Waukesha, WI 53188-5071 2014-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467917609 Choice 2 Change Therapy, Inc. Counselor 217 Wisconsin Ave Ste 114, Waukesha, WI 53186-4946 2019-02-01
1851864029 Daniel Chadwick Counselor 741 N Grand Ave Ste 204, Waukesha, WI 53186-4841 2019-01-09
1376021782 Jasen Alan Eberhardt Counselor 223 Wisconsin Ave Ste B, Waukesha, WI 53186-4968 2018-07-30
1952601833 Heidi J Rubio Counselor 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 2010-10-26
1477793180 Sarah M Smith Counselor W231n1440 Corporate Ct # 310, Waukesha, WI 53186-1303 2009-02-21
1952577488 Patricia Rose Gutierrez Counselor 147 Randall St, Waukesha, WI 53188-3528 2008-05-05
1902091135 Tamara L Erickson Counselor 2314 Grandview Blvd, Suites 301 & 110, Waukesha, WI 53188-1675 2007-09-11
1275734105 Denise Louise Drum Counselor 407 Pilot Ct Ste 400, Waukesha, WI 53188-2466 2007-05-29
1124182126 David Poehlmann Counselor 2422 N Grandview Blvd, Suite 501, Waukesha, WI 53188-6105 2006-12-21
1629132840 Maribeth Rose Dettlaff Counselor 500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 2006-12-21
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Competitor

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City WAUKESHA
Zip Code 53188

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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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