Healthcare Provider Details
I. General information
NPI: 1205256344
Provider Name (Legal Business Name): CARA MCCLUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/16/2014
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7345 COURAGE WAY SUITE 101
CHATTANOOGA TN
37421-1555
US
IV. Provider business mailing address
4494 WELLESLEY DR
OOLTEWAH TN
37363-4886
US
V. Phone/Fax
- Phone: 423-602-9797
- Fax: 423-602-9796
- Phone: 423-290-0594
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 5879 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: