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NPI Code Detail

MEDICARE: DANIELLE P MCCLAIN MSW, LCSW

MEDICARE: DANIELLE P 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 Worker34005231AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295744621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE P MCCLAIN MSW, LCSW
Provider Business Mailing Address
First Line : 5101 E US HIGHWAY 36
Second Line : STE 100
City : AVON
State : IN
Zip : 46123-6646
Country : US
Telephone Number : 888-714-1927
Fax Number : 317-745-9565
Provider Business Practice Location Address
First Line : 5638 PROFESSIONAL CIR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-5042
Country : US
Telephone Number : 317-247-8919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 10/12/2016

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