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NPI Code Detail

MEDICARE: CATHERINE PORTER GLASS LCSW

MEDICARE: CATHERINE PORTER GLASS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker61215TX

General Provider Information

NPI Number : 1518144864
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE PORTER GLASS LCSW
Provider Business Mailing Address
First Line : 4144 N CENTRAL EXPY STE 850
Second Line :
City : DALLAS
State : TX
Zip : 75204-3226
Country : US
Telephone Number : 972-865-8782
Fax Number : 972-499-6935
Provider Business Practice Location Address
First Line : 4144 N CENTRAL EXPY STE 850
Second Line :
City : DALLAS
State : TX
Zip : 75204-3226
Country : US
Telephone Number : 972-865-8782
Fax Number : 972-499-6935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 11/04/2025

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Directions to “ CATHERINE PORTER GLASS LCSW” Practice Location

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