Individual provider Active NPI

Glen Calvert, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1245670884
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50335 Issued in TX
Practice address
6243 W Interstate 10
Ste 1050
San Antonio, TX 78201-2086
Phone
(210) 293-0883
Fax
(210) 293-0885
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50335 TX Primary

Addresses

Primary practice location

6243 W Interstate 10
Ste 1050
San Antonio, TX 78201-2086

Mailing address

6243 W Interstate 10
Ste 1050
San Antonio, TX 78201-2086
Phone (210) 293-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50335TXMDClinical Social Worker
3463LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients
Jefferson Parish Human Services Authority PastSince Jul 24, 2022 Accepting new patients
Addiction Medicine Consultants of Texas, PLLC Past Accepting new patients
Alamo Wellness Group, LLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1245670884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 W INTERSTATE 10",
            "address_2": "STE 1050",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012086",
            "telephone_number": "210-293-0883",
            "fax_number": "210-293-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 W INTERSTATE 10",
            "address_2": "STE 1050",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782012086",
            "telephone_number": "210-293-0883",
            "fax_number": "210-293-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "GLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.