MEDICARE: COURTNEY GLOVER

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	P023070	NC

General Provider Information

NPI Number	:	1699637694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY GLOVER

Provider Business Mailing Address
First Line	:	8390 SIX FORKS RD STE 201204
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 SIX FORKS RD STE 201204
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3060
Country	:	US
Telephone Number	:	919-890-5852
Fax Number	:

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

Provider Enumeration Date	:	11/27/2025
Last Update Date	:	12/11/2025

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Directions to “ COURTNEY GLOVER ” Practice Location

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