Provider Demographics
NPI:1710798707
Name:GLOVER, EMILY DAWN (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:DAWN
Last Name:GLOVER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:DAWN
Other - Last Name:BROSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 GREENRIDGE DR NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49544-6941
Mailing Address - Country:US
Mailing Address - Phone:616-337-7603
Mailing Address - Fax:
Practice Address - Street 1:5020 E BELTLINE AVE NE STE 202
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6869
Practice Address - Country:US
Practice Address - Phone:616-439-2640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511192291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical