Glimmering Waters Wellness, PLLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

GLIMMERING WATERS WELLNESS, PLLC

Doing business as

Glimmering Waters Wellness, PLLC

Practice address

316 W Boone Ave Ste 850
Spokane, WA 99201-2353

Phone

(509) 240-9729

NPI assigned

Jun 5, 2023

Organization subpart

No

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

Authorized official

Name

Lindsay N Clark, LICSWNPI 1295311355

Title

Owner

Phone

(206) 669-0000

Specialties & licenses 1

Addresses

Other names 2

• Glimmering Waters Wellness, PLLC Doing business as
• Lindsay Clark Other name

Practitioners 1

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

• Lindsay Clark, LICSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1295311355
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1598459422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30248",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 850",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012353",
            "telephone_number": "509-240-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIMMERING WATERS WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-669-0000",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glimmering Waters Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindsay Clark",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Jean Glenn, MSW
• Gregory Glenn
• Sidnee Chandelle Glenn, DPT
• Gary Glennie, R.PH.
• Jonathan Glennie, OD
• Christine Ann Gliniak, OTR
• Jeffery Anthony Glinski, CDP
• Olivia Joyce-Anne Glover
• Stephen Clinton Glover, RPH
• Grace Neharah Glueck, LE

• PACE Provider Organization in Spokane, WA
• Providers in Spokane, WA by specialty
• PACE Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.