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NPI Code Detail

MEDICARE: RACHELLA MCCLAIN MSW, LCSW

MEDICARE: RACHELLA MCCLAIN MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2006023804MO

General Provider Information

NPI Number : 1124333919
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHELLA MCCLAIN MSW, LCSW
Provider Business Mailing Address
First Line : 1901 E BENNETT ST STE B
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-1427
Country : US
Telephone Number : 417-409-3008
Fax Number : 417-719-7973
Provider Business Practice Location Address
First Line : 1736 E SUNSHINE ST STE 700
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-1333
Country : US
Telephone Number : 417-409-3008
Fax Number : 417-719-7973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 02/12/2026

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