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ANGELA DAWN GLICK LCP
NPI 1144377540
Psychologist - Clinical in Logan, WV

Active since January 05, 2007
306 MAIN ST, LOGAN, WV 25601(304) 752-7707(304) 752-0772 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Dawn Glick Lcp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA DAWN GLICK LCP (NPI 1144377540) is an individual clinical provider in Logan, West Virginia, licensed in West Virginia (776) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1144377540
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANGELA DAWN GLICKCredential: LCP
Location Address306 MAIN STLogan, WV 25601-3906
Mailing Address701 Madison AveMadison, WV 25130-1699 · (304) 369-1230 · Fax (304) 369-6036
Phone(304) 752-7707
Fax(304) 752-0772
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1144377540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WV · 776
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
306 MAIN ST, Logan, WV 25601
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Other Names 1

Other Name (5)Angel Dawn Glick

Other Identifiers 2

Medicaid9202037000WV
Other001715137WV · Bluecross Shield Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Dawn Glick Lcp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Angela Glick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boone Memorial Hospital, Inc
17 mi
Rural Health
660A S MAIN ST
Madison, WV 25130
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1639135221 (West Virginia)
  • 159 clinicians in this Medicare group
NPI 1801039565 (304) 369-4250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE ROBERTSON AKERS M.A.
Psychologist (Clinical)
306 MAIN ST
LOGAN, WV 25601
Logan County (304) 752-7707
CASSIE WARD
Psychologist
306 MAIN ST
LOGAN, WV 25601
Logan County (304) 752-7707
PSYCHOLOGICAL ASSOCIATES OF LOGAN
Psychologist
306 MAIN ST
LOGAN, WV 25601
Logan County (304) 752-7707
SHERRY CHURCH
Psychologist (Clinical)
306 MAIN ST
LOGAN, WV 25601
Logan County (304) 752-7707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Glick's NPI number?

The NPI number for Angela Glick is 1144377540. It was assigned to this individual provider in the NPPES registry on January 5, 2007. The provider is also known as Angel Dawn Glick.

Where is Angela Glick located?

Angela Glick practices at 306 Main St, Logan, WV 25601. The listed phone number is (304) 752-7707.

What is Angela Glick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Angela Glick enrolled in Medicare?

Yes. Angela Glick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Glick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Glick reassigns Medicare benefits to Boone Memorial Hospital, Inc (Madison, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Glick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Glick accept?

Health plans from CareSource list Angela Glick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Glick was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.