Provider Demographics
NPI:1942633474
Name:YORK, GLENDA FAYE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:FAYE
Last Name:YORK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2216
Mailing Address - Country:US
Mailing Address - Phone:530-356-0206
Mailing Address - Fax:
Practice Address - Street 1:1470 RIDGE DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2216
Practice Address - Country:US
Practice Address - Phone:530-356-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical