IndividualActive
Glenn Beatty, LICSW
NPI 1700892114 · Social Worker · Burlington, VT
Provider details
- NPI number
- 1700892114
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 0890000229 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
351 North Ave Burlington
Burlington, VT 05401
Phone: (802) 658-6110
Fax: (802) 860-0451
Approximate (ZIP-level) locationGet directions
Mailing address
351 North Ave
Burlington, VT 05401
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.