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NPI Code Detail

MEDICARE: BETHANY MARIE MCCLAIN

MEDICARE: BETHANY MARIE MCCLAIN
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
1104100000XSocial WorkerS.2613879OH

General Provider Information

NPI Number : 1124992342
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY MARIE MCCLAIN
Provider Business Mailing Address
First Line : 865 ROYAL CIR
Second Line :
City : HOWARD
State : OH
Zip : 43028-9370
Country : US
Telephone Number : 740-507-6023
Fax Number :
Provider Business Practice Location Address
First Line : 8402 BLACKJACK RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-9193
Country : US
Telephone Number : 740-963-3590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2025
Last Update Date : 06/04/2026

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Directions to “ BETHANY MARIE MCCLAIN ” Practice Location

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