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

Individual provider Clinical Social Worker · NPI 1588761209

Judith Glick, LCSW is a Clinical Social Worker in Fair Lawn, New Jersey. Qualified in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
31
Licensed in
NJ
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12 Koenig Ct
Fair Lawn, NJ 07410-2742
Phone: (201) 657-5682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04550100 (NJ)

Record details

NPI number1588761209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 17, 2006
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019
Mailing address12 Koenig Ct, Fair Lawn, NJ 07410-2742

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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