IndividualActive
Tanner Glen, LICSW
NPI 1154140150 · Clinical Social Worker · Brookline, MA
Tanner Glen, LICSW is a Clinical Social Worker provider in Brookline, MA (NPI 1154140150).
Provider details
- NPI number
- 1154140150
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 228559 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1180 Beacon St Ste 4c
Brookline, MA 02446-3806
Phone: (413) 273-6474
Street-level locationGet directions
Mailing address
159 Summer St Apt 44
Amherst, MA 01002-1140
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Tanner Glen's NPI number?
- Tanner Glen's National Provider Identifier (NPI) is 1154140150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanner Glen's specialty?
- Tanner Glen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tanner Glen located?
- Tanner Glen's practice location on file with NPPES is 1180 Beacon St Ste 4c, Brookline, MA 02446-3806.
- What is Tanner Glen's phone number?
- The practice phone number listed in the NPPES registry for Tanner Glen is (413) 273-6474.
- Is Tanner Glen's NPI active?
- Yes — Tanner Glen's NPI (1154140150) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.