Active NPI
Glen Feigelman, LCSW
- Clinical Social Worker
- Pinole, CA
National Provider Identifier
1609813955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15849
- Practice address
- 2643 Appian Way
Pinole, CA 94564-2253 - Phone
- (510) 758-4039
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15849 | CA | Primary |
Addresses
Primary practice location
2643 Appian Way
Pinole, CA 94564-2253
Mailing address
520 Orchid CT
Benicia, CA 94510-3727
Phone (707) 746-6784
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061114000479 | CA | Practitioner - Clinical Social Worker | 2264430859 | Practice locations: Pinole, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2643 Appian Way
Suite A1
Pinole, CA 94564-2253
Phone (510) 691-9567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15849 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609813955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 ORCHID CT",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103727",
"telephone_number": "707-746-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2643 APPIAN WAY",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642253",
"telephone_number": "510-758-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIGELMAN",
"first_name": "GLEN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "15849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
- Family Institute of Pinole
- Romelda Famorcan, M.S., CCC-SLP, MHPED
- Lacey Laverne Farah, ANMT
- Jessamine Joy Faustino-Wong, MD
- Jenna Marie Faustino
- Feriel El Ghaoui DDS Inc.
- Danna Fernandez Hernandez
- Jean Louise Lerit Fernandez
- First Optometric Care of Northern California (Eye Love Optometry)
- Deanna Belle Flores, IHS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.