Active NPI
Glen Allen Mears, LCSW
- Clinical Social Worker
- Roswell, NM
National Provider Identifier
1295734929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2022-1105
- Practice address
- 208 N Kansas Ave
Mearsglen@Gail.Com
Roswell, NM 88201-0117 - Phone
- (719) 845-7956
- Fax
- (719) 845-7956
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09924447 | CO | |
| Clinical Social Worker | 1041C0700X | SWB-2022-1105 | NM | Primary |
Addresses
Primary practice location
208 N Kansas Ave
Mearsglen@Gail.Com
Roswell, NM 88201-0117
Mailing address
208 N Kansas Ave
Mearsglen@Gmail.Com
Roswell, NM 88201-0117
Phone (719) 845-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09924447 | CO | MD | Clinical Social Worker |
| SWB-2022-1105 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Las Animas-Huerfano Counties District Health Department | Past | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
-
- Public Health or Welfare Agency
- Trinidad, CO
- NPI 1760540900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1295734929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N KANSAS AVE",
"address_2": "MEARSGLEN@GMAIL.COM",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882010117",
"telephone_number": "719-845-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N KANSAS AVE",
"address_2": "MEARSGLEN@GAIL.COM",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882010117",
"telephone_number": "719-845-7956",
"fax_number": "719-845-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEARS",
"first_name": "GLEN",
"middle_name": "ALLEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09924447",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2022-1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.