Individual provider Active NPI

Glenn Emery Maloney, LICSW, LADC

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1386202042
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25714 Issued in MN
Practice address
314 W Superior St Ste 314
Duluth, MN 55802-1825
Phone
(218) 225-8498
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 25714 MN Primary

Addresses

Primary practice location

314 W Superior St Ste 314
Duluth, MN 55802-1825

Mailing address

314 W Superior St Ste 314
Duluth, MN 55802-1825
Phone (218) 225-8498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20241120002245 MN Practitioner - Clinical Social Worker 7012442585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Most Excellent Psychotherapy LLC Clinical CurrentSince Sep 8, 2024 Accepting new patients

Locations

5 N 3rd Ave W
Ste 310
Duluth, MN 55802
Phone (218) 722-2368

314 W Superior St
Ste 314
Duluth, MN 55802

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1386202042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST STE 314",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021825",
            "telephone_number": "218-225-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST STE 314",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021825",
            "telephone_number": "218-225-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "GLENN",
        "middle_name": "EMERY",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.