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

Glenn Holt

Individual provider Social Worker · NPI 1417444712

Glenn Holt is a Clinical Social Worker in Bay Shore, New York. Qualified in 2017, 9 years ago. Practices with Island Psychiatry PC, a 14-clinician group. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9 4th Ave
Bay Shore, NY 11706-7908
Phone: (631) 665-6707
Fax: (631) 665-3564
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 102694-1 (NY)

Record details

NPI number1417444712
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 23, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Island Psychiatry Pc — 14 clinicians
Accepts Medicare assignment Not indicated

Other providers in Bay Shore