Provider Demographics
NPI:1760669204
Name:CURRY, GLENN M (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GLENN
Middle Name:M
Last Name:CURRY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 S SPRING ST
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-3961
Mailing Address - Country:US
Mailing Address - Phone:217-494-3727
Mailing Address - Fax:
Practice Address - Street 1:1700 S SPRING ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-3961
Practice Address - Country:US
Practice Address - Phone:217-494-3727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150-100211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0008432049OtherBLUE CROSS/BLUE SHIELD