Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Glenn Warren Frost, LCSW-R, ACSW

Individual provider Mental Health Counselor · NPI 1053491555

Mr. Glenn Warren Frost, LCSW-R, ACSW is a Clinical Social Worker in Tonawanda, New York. Graduated from State University of New York at Buffalo School of Medicine in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
32
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

884 Brighton Rd
Tonawanda, NY 14150-8169
Phone: (716) 836-9460
Fax: (716) 836-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R049406-1 (NY)

Record details

NPI number1053491555
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R , ACSW
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tonawanda