Provider Demographics
NPI:1033968052
Name:GLASSER, DANA SHARICE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:SHARICE
Last Name:GLASSER
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 1:8958 CAMINITO VERANO
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1606
Mailing Address - Country:US
Mailing Address - Phone:619-708-7478
Mailing Address - Fax:
Practice Address - Street 1:8958 CAMINITO VERANO
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1606
Practice Address - Country:US
Practice Address - Phone:619-708-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1220461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical