Provider Demographics
NPI:1306413257
Name:GLINK, CARLY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:
Last Name:GLINK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3557 W PETERSON AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3218
Mailing Address - Country:US
Mailing Address - Phone:773-478-6000
Mailing Address - Fax:
Practice Address - Street 1:3557 W PETERSON AVE STE 122
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3218
Practice Address - Country:US
Practice Address - Phone:773-478-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker