Healthcare Provider Details

I. General information

NPI: 1124333919
Provider Name (Legal Business Name): RACHELLA MCCLAIN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 E SUNSHINE ST STE 700
SPRINGFIELD MO
65804-1333
US

IV. Provider business mailing address

1901 E BENNETT ST STE B
SPRINGFIELD MO
65804-1427
US

V. Phone/Fax

Practice location:
  • Phone: 417-409-3008
  • Fax: 417-719-7973
Mailing address:
  • Phone: 417-409-3008
  • Fax: 417-719-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2006023804
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: