Glen Alvin McClintock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18890 Issued in CA

Practice address

215 NE Cerritos Dr
Palm Springs, CA 92262-6530

Phone

(415) 954-2022

NPI assigned

Dec 4, 2006

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

Other identifiers 1

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Glen Alvin McClintock Licensed Clinical Social Worker Inc

  • Adult Mental Health Clinic/Center
  • Palm Springs, CA
  • NPI 1972499879
  Medicare reassignment NPD Authorized official
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment NPD
• Glen Alvin McClintock Licensed Clinical Social Worker Inc

  • Adult Mental Health Clinic/Center
  • Palm Springs, CA
  • NPI 1396574794
  NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1467520668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 MISSION ST UNIT 1031",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036404",
            "telephone_number": "415-954-2022"
        },
        {
            "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": "415-954-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "GLEN",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-04-17",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009571",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn McAlpin, N.P.
• Lynette Lipp McBride, PA-C
• Diana McCarthy
• Leila McCauley, LMFT
• Kate A McClain, RD
• Pijittra Sunyadilok McCormick
• Amber C McCoy
• Kevin J McCullough, RPH
• Gretchen Marie McCurley
• Alyssa Michelle McDonald

• Clinical Social Worker in Palm Springs, CA
• Providers in Palm Springs, 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 Apr 17, 2024; 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.