| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA A GLASS | 1992857171 | 2024-04-07 |
Jessica A Glass is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992857171. Registration indicates Jessica A Glass is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Jessica A Glass LCSW |
| Practice Office Address | 134 N 4TH ST BROOKLYN, NY US |
| Practice Office Telephone | 9177016297 |
| Mailing Address | 134 N 4TH ST BROOKLYN, NY 112493296 US |
| Business Telephone | 6464507748 |
| Business Fax | 5165425556 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 0727141
NY |