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GLENNIS JEANNE MULDOON LCSW
NPI 1386312270
Social Worker - Clinical in San Diego, CA

Active since September 03, 2021PECOS Enrolled
4874 POLK AVE, SAN DIEGO, CA 92105(619) 515-2426 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Mar 18, 2026, Jul 13, 2024 (3 updates tracked since 2024).

About Glennis Jeanne Muldoon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENNIS JEANNE MULDOON LCSW (NPI 1386312270) is an individual clinical provider in San Diego, California, licensed in California (135826) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386312270
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGLENNIS JEANNE MULDOONCredential: LCSW
Location Address4874 POLK AVESan Diego, CA 92105-2026
Mailing AddressPo Box 15104San Diego, CA 92175-5104
Phone(619) 515-2426
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1386312270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 135826
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 29295 (MD)
4874 POLK AVE, San Diego, CA 92105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glennis Jeanne Muldoon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002391521
PECOS Enrollment IDI20260401002227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4874 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 515-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glennis Muldoon's NPI number?

The NPI number for Glennis Muldoon is 1386312270. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Glennis Muldoon located?

Glennis Muldoon practices at 4874 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 515-2426.

What is Glennis Muldoon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Glennis Muldoon enrolled in Medicare?

Yes. Glennis Muldoon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glennis Muldoon was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.