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

Tanner Lee Glen, LICSW

Individual provider Clinical Social Worker · NPI 1154140150

Tanner Lee Glen, LICSW is a Clinical Social Worker in Brookline, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1180 Beacon St Ste 4C
Brookline, MA 02446-3806
Phone: (413) 273-6474
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 228559 (MA)

Record details

NPI number1154140150
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Other providers in Brookline