Erin Camille Glenn, LSW

Individual provider Active NPI Social Worker · MC Connellsburg, PA

NPI 1093010381 · NPPES record last updated Jan 18, 2011

Key facts

NPI
1093010381
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SW128020 (PA)
Practice address
119 Lincoln Way W
MC Connellsburg, PA 17233-1302
Phone
(717) 325-0136
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW128020PAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128020 PA Yes

Addresses

Primary practice location

119 Lincoln Way W
MC Connellsburg, PA 17233-1302

Mailing address

119 Lincoln Way W
MC Connellsburg, PA 17233-1302

Other providers in MC Connellsburg, PA

All providers in MC Connellsburg, PA · Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.