IndividualActive
Glenn Degere, M.S.W., L.I.C.S.W.
NPI 1972860187 · Clinical Social Worker · Hanscom Afb, MA
Provider details
- NPI number
- 1972860187
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W., L.I.C.S.W.
- Sex
- Male
- Sole proprietor
- No
- License
- 115439 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
90 Vandenberg Dr Bldg 1900
Hanscom Afb, MA 01731-2104
Phone: (781) 225-6789
Fax: (781) 225-2568
Approximate (ZIP-level) locationGet directions
Mailing address
25 Essex St
Athol, MA 01331-2207
Additional practice locations (1)
- 25 Essex StAthol, MA 01331-2207Phone: (781) 698-8321Fax: (978) 249-2832
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.