National Provider Identifier

Glenn Warren Frost, LCSW-R, ACSW

Glenn Warren Frost, LCSW-R, ACSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Tonawanda, NY and a listed phone number of (716) 836-9460.

NPI 1053491555Tonawanda, NYMental Health Counselor

Profile Overview

NPI
1053491555
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 884 Brighton RD
  • Tonawanda, NY 14150-8169

Phone: (716) 836-9460

Mailing Address

  • 254 Peppertree Dr
  • Amherst, NY 14228-2949

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1053491555
Entity Type
Individual
Last Name
Frost
First Name
Glenn
Middle Name
Warren
Name Prefix
Mr.
Credential
LCSW-R, ACSW
Mailing Street Address
254 Peppertree Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-2949
Mailing Country
US
Mailing Phone
(716) 564-0296
Practice Street Address
884 Brighton RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8169
Practice Country
US
Practice Phone
(716) 836-9460
Practice Fax
(716) 836-9462
Enumeration Date
October 17, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)