Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Dawn Glick, LCP

Individual provider Clinical Psychologist · NPI 1144377540

Angela Dawn Glick, LCP is a Clinical Psychologist in Logan, West Virginia. Qualified in 1995, 31 years ago. Practices with Boone Memorial Hospital Inc, a 77-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
31
Licensed in
WV
In the registry since
2007

Practice location Address checks out

306 Main St
Logan, WV 25601-3906
Phone: (304) 752-7707
Fax: (304) 752-0772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 776 (WV)

Record details

NPI number1144377540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCP
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Boone Memorial Hospital Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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