Provider Demographics
NPI:1730449422
Name:GLIDE, KARIE ANN (LMSW)
Entity type:Individual
Prefix:
First Name:KARIE
Middle Name:ANN
Last Name:GLIDE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KARIE
Other - Middle Name:ANN
Other - Last Name:EICHHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:18965 WARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2273
Mailing Address - Country:US
Mailing Address - Phone:708-829-0797
Mailing Address - Fax:
Practice Address - Street 1:30000 HIVELEY ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1089
Practice Address - Country:US
Practice Address - Phone:248-615-9730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker