Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Wilson, LCSW

Individual provider Social Worker · NPI 1154710960

Glen Wilson, LCSW is a Social Worker in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (770) 713-8570
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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 · Licence CSW006155 (GA)
Social Worker Taxonomy 104100000X · Licence MSW006625 (GA)

Record details

NPI number1154710960
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2015
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address1670 Clairmont Rd, Decatur, GA 30033-4004

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