MEDICARE: CHRISTINE GLOMSTEAD LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		MI

General Provider Information

NPI Number	:	1467315234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE GLOMSTEAD LMSW

Provider Business Mailing Address
First Line	:	2324 BEVINGTON RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2974
Country	:	US
Telephone Number	:	734-717-8902
Fax Number	:

Provider Business Practice Location Address
First Line	:	43421 GARFIELD RD STE 4
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-1133
Country	:	US
Telephone Number	:	586-286-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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