Provider Demographics
NPI:1861779894
Name:GLOVER, RONNIE DONNELL (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:DONNELL
Last Name:GLOVER
Suffix:
Gender:M
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 1:356 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3228
Mailing Address - Country:US
Mailing Address - Phone:704-797-8846
Mailing Address - Fax:
Practice Address - Street 1:356 GROVE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-3228
Practice Address - Country:US
Practice Address - Phone:704-797-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0072391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical