Glen Alvin McClintock Licensed Clinical Social Worker Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GLEN ALVIN MCCLINTOCK LICENSED CLINICAL SOCIAL WORKER INC

Practice address

215 NE Cerritos Dr
Palm Springs, CA 92262-6530

Phone

(415) 954-0222

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Glen Alvin McClintock, LCSWNPI 1467520668

Title

President

Phone

(415) 954-0222

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen Alvin McClintock, LCSW

  • Clinical Social Worker
  • Palm Springs, CA
  • NPI 1467520668
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1396574794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NE CERRITOS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626530",
            "telephone_number": "415-954-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NE CERRITOS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626530",
            "telephone_number": "415-954-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ALVIN MCCLINTOCK LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-954-0222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anahita Ghorbani
• Yashar Ghorbani, DDS
• Amy Gile
• Daniel James Gillespie, AGPCNP-BC
• John W Gilmore II, M.D.
• Glen Alvin McClintock Licensed Clinical Social Worker Inc
• Glen P Morehead MD Inc
• Global Premier Fertility-Inland Empire PC
• Global Rehab Solution, Inc.
• Nicholas Glover, DO

• Adult Mental Health Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.