Individual
MR. MICHAEL SAM GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2700 S BROAD ST, NEW ORLEANS, LA 70125-1953
(504) 821-9211
Mailing address
2700 S BROAD ST, NEW ORLEANS, LA 70125-1953
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
14109
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/13/2017
Last updated
12/15/2025
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