Provider Demographics
NPI:1073174892
Name:GLENN, CHRISTEN L (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:L
Last Name:GLENN
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:PO BOX 3624
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-3624
Mailing Address - Country:US
Mailing Address - Phone:828-544-8328
Mailing Address - Fax:
Practice Address - Street 1:315 WILKESBORO BLVD NE STE 1A
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-4498
Practice Address - Country:US
Practice Address - Phone:828-754-6087
Practice Address - Fax:828-754-1344
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0144781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical