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

Mr. Glenn George Stevenson, LCSW

Individual provider Clinical Social Worker · NPI 1073729976

Mr. Glenn George Stevenson, LCSW is a Clinical Social Worker in Tustin, California. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2007
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

515 E 1st St Ste D
Tustin, CA 92780-3335
Phone: (714) 468-9963
Fax: (714) 636-9696
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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 LCS19398 (CA)

Record details

NPI number1073729976
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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