Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Glow with Wellness Therapy, Licensed Clinical Social Worker

Organization Clinical Social Worker · NPI 1164336269

Glow with Wellness Therapy, Licensed Clinical Social Worker provides Clinical Social Worker services in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3555 Rosecrans St Ste 114-134
San Diego, CA 92110-3231
Phone: (858) 326-1810
Fax: (858) 326-2043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164336269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheila Kubota — President/Ceo · (858) 326-1810
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address3555 Rosecrans St Ste 114-134, San Diego, CA 92110-3231

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