Provider Demographics
NPI:1023734910
Name:GLASGOW, ADRIANNA MARIE (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:ADRIANNA
Middle Name:MARIE
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 N VERLINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1458
Mailing Address - Country:US
Mailing Address - Phone:248-933-8569
Mailing Address - Fax:
Practice Address - Street 1:15173 NORTH RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-1381
Practice Address - Country:US
Practice Address - Phone:810-771-4074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIS326031585547OtherDRIVER'S LICENSE