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

1900 E Tahquitz Canyon Way Ste C4
Palm Springs, CA 92262-7062

Phone

(415) 954-2022

NPI assigned

Jun 16, 2025

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) 954-2022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1972499879",
    "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": "415-954-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY STE C4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627062",
            "telephone_number": "415-954-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ALVIN MCCLINTOCK LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "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": "415-954-2022",
        "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": []
}

• 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
• Joseph Godinez

• 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 Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.