GLEN ALVIN MCCLINTOCK LICENSED CLINICAL SOCIAL WORKER INC
NPI 1972499879
Clinic/Center - Adult Mental Health in Palm Springs, CA
About Glen Alvin Mcclintock Licensed Clinical Social Worker Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN ALVIN MCCLINTOCK LICENSED CLINICAL SOCIAL WORKER INC (NPI 1972499879) is a healthcare organization registered as an adult mental health in Palm Springs, California and active in the NPI registry since June 2025. The organization lists Glen Alvin Mcclintock, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glen Alvin Mcclintock Licensed Clinical Social Worker Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Glen Alvin Mcclintock Licensed Clinical Social Worker Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Glen Alvin Mcclintock Licensed Clinical Social Worker Inc's NPI number?
The NPI number for Glen Alvin Mcclintock Licensed Clinical Social Worker Inc is 1972499879. It was assigned to this organization in the NPPES registry on June 16, 2025.
Where is Glen Alvin Mcclintock Licensed Clinical Social Worker Inc located?
Glen Alvin Mcclintock Licensed Clinical Social Worker Inc is located at 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262. The listed phone number is (415) 954-2022.
What is Glen Alvin Mcclintock Licensed Clinical Social Worker Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Glen Alvin Mcclintock Licensed Clinical Social Worker Inc enrolled in Medicare?
Yes. Glen Alvin Mcclintock Licensed Clinical Social Worker Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Glen Alvin Mcclintock Licensed Clinical Social Worker Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Glen Alvin Mcclintock Licensed Clinical Social Worker Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Glen Alvin Mcclintock Licensed Clinical Social Worker Inc was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Glen Alvin Mcclintock Licensed Clinical Social Worker Inc · NPI 1972499879
Adult Mental Health organization in Palm Springs, California. Organization record, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1972499879 (Entity type: Organization)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Glen Mcclintock, PRESIDENT
## Practice location
- **Address:** 1900 E TAHQUITZ CANYON WAY STE C4, Palm Springs, CA 92262-7062
- **Phone:** (415) 954-2022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972499879) · Data from the CMS NPPES public registry.