Healthcare Provider Details

I. General information

NPI: 1356136139
Provider Name (Legal Business Name): GLIMMERS OF GROWTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 VANILLA WALKWAY
SAN JOSE CA
95133-2183
US

IV. Provider business mailing address

1050 VANILLA WALKWAY
SAN JOSE CA
95133-2183
US

V. Phone/Fax

Practice location:
  • Phone: 929-333-6391
  • Fax:
Mailing address:
  • Phone: 929-333-6391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DUSTIN CHIEN
Title or Position: PRESIDENT
Credential: LCSW
Phone: 929-333-6391