Provider Demographics
NPI:1386972115
Name:GLASGOW, VICTORIA JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:JEAN
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18520 ADDISON RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3436
Mailing Address - Country:US
Mailing Address - Phone:214-575-2999
Mailing Address - Fax:214-575-2727
Practice Address - Street 1:18520 ADDISON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75001
Practice Address - Country:US
Practice Address - Phone:214-575-2999
Practice Address - Fax:214-575-2727
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53098171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator