TANNER LEE GLEN LICSW
NPI 1154140150
Social Worker - Clinical in Brookline, MA

Active since October 07, 2024
1180 BEACON ST STE 4C, BROOKLINE, MA 02446(413) 273-6474 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2025, Oct 7, 2024 (2 updates tracked since 2024).

About Tanner Lee Glen Licsw NPPES

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

TANNER LEE GLEN LICSW (NPI 1154140150) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (228559) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1154140150
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTANNER LEE GLENCredential: LICSW
Location Address1180 BEACON ST STE 4CBrookline, MA 02446-3806
Mailing Address159 Summer St Apt 44Amherst, MA 01002-1140 · (520) 371-0680
Sole ProprietorNo
Enumeration DateOctober 7, 2024
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1154140150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 228559
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1180 BEACON ST STE 4C, Brookline, MA 02446

Accepted Insurance

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.

Counselor (Mental Health)
1180 BEACON ST STE 4C
BROOKLINE, MA 02446
Social Worker (Clinical)
1180 BEACON ST STE 4C
BROOKLINE, MA 02446
Clinic/Center (Adult Mental Health)
1180 BEACON ST STE 4C
BROOKLINE, MA 02446
Social Worker
1180 BEACON ST STE 4C
BROOKLINE, MA 02446

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 Tanner Glen's NPI number?

The NPI number for Tanner Glen is 1154140150. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Tanner Glen located?

Tanner Glen practices at 1180 Beacon St Ste 4C, Brookline, MA 02446. The listed phone number is (413) 273-6474.

What is Tanner Glen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Tanner Glen accept?

Health plans from Harvard Pilgrim Health Care list Tanner Glen 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 Tanner Glen was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.