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

Glenn Jacob-Oviatt

Individual provider Clinical Social Worker · NPI 1710431648

Glenn Jacob-Oviatt is a Clinical Social Worker in San Jose, California. Licensed in California and Oregon. Registered with an NPI since 2016.

Licensed in
CA, OR
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1922 The Alameda
San Jose, CA 95126-1457
Phone: (669) 213-0714
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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 L13710 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103743 (CA)

Record details

NPI number1710431648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2016
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

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