Provider Demographics
NPI:1366777674
Name:AKERS, GLENNA MARTHA (MSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:GLENNA
Middle Name:MARTHA
Last Name:AKERS
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1698 PARK VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4141
Mailing Address - Country:US
Mailing Address - Phone:530-518-7339
Mailing Address - Fax:530-898-4870
Practice Address - Street 1:2491 CARMICHAEL DR STE 400
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7191
Practice Address - Country:US
Practice Address - Phone:530-898-5086
Practice Address - Fax:530-898-4870
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA187051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical