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

Mr. Glenn James Larock, LICSW

Individual provider Clinical Social Worker · NPI 1194816884

Mr. Glenn James Larock, LICSW is a Clinical Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho, Massachusetts and Vermont.

Licensed in
ID, MA, VT
In the registry since
2006
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 E Idaho St
Boise, ID 83712-6267
Phone: (208) 381-2711
Fax: (208) 381-4025
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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 LCSW-35629 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 110763 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 089 0092617 (VT)

Record details

NPI number1194816884
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

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