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

Glenn L Shephard Jr., LCSW

Individual provider Clinical Social Worker · NPI 1861608101

Glenn L Shephard Jr., LCSW is a Clinical Social Worker in Norwalk, Connecticut. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
37
Licensed in
CT, NY
In the registry since
2007
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

9 Mott Ave Ste 310
Norwalk, CT 06850-3916
Phone: (917) 608-1429
Fax: (203) 909-6483
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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 005288 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 040900-1 (NY)

Record details

NPI number1861608101
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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