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

Glennis Jeanne Muldoon, LCSW

Individual provider Clinical Social Worker · NPI 1386312270

Glennis Jeanne Muldoon, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California and Maryland.

Years since qualifying
4
Licensed in
CA, MD
In the registry since
2021
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4874 Polk Ave
San Diego, CA 92105-2026
Phone: (619) 515-2426
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 135826 (CA)
Social Worker Taxonomy 104100000X · Licence 29295 (MD)

Record details

NPI number1386312270
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in San Diego