Glenn George Stevenson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19398 Issued in CA

Practice address

515 E 1St St Ste D
Tustin, CA 92780-3335

Phone

(714) 468-9963

Fax

(714) 636-9696

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Marrriage and Family Therapy a Professional Corporation

  • Mental Health Counselor
  • Tustin, CA
  • NPI 1750040499
  NPD
• Pointer Psychotherapy, Inc

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1962984013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1073729976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803335",
            "telephone_number": "714-468-9963",
            "fax_number": "714-636-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803335",
            "telephone_number": "714-468-9963",
            "fax_number": "714-636-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "GLENN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Stephanik, ATC
• Stephen Donoghue DDS Inc
• Lucas Stephens, DMD
• Ariana Sterrett, AMFT
• Steven Long, MD
• Del Stewart, LCSW
• Gary Michael Stewart, M.D.
• Jenny L. Stewart, LCSW
• Charles E Stirewalt, DMD
• Leslie Ann Stone, LCSW

• Clinical Social Worker in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.