Lane Elizabeth McClellan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C6938 Issued in MS

Practice address

1893 Cliff Gookin Blvd Ste B
Tupelo, MS 38801-6558

Phone

(662) 346-4584

Fax

(662) 346-4589

NPI assigned

Jul 13, 2009

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heale Counseling LLCGroup PAC ID 7416316880, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breathe LLC

  • Social Worker
  • Tupelo, MS
  • NPI 1609753599
  Medicare reassignment NPD Authorized official
• Heale Counseling, LLC

  • Mental Health Counselor
  • Tupelo, MS
  • NPI 1093410243
  Medicare reassignment Care Compare group NPD
• Counseling for a Cause, LLC

  • Adult Mental Health Clinic/Center
  • Tupelo, MS
  • NPI 1831627405
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1013146927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 QUAIL CREEK RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017251",
            "telephone_number": "662-844-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 CLIFF GOOKIN BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016558",
            "telephone_number": "662-346-4584",
            "fax_number": "662-346-4589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2434 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046942",
            "country_code": "US",
            "telephone_number": "662-844-1717",
            "fax_number": "662-680-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "LANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C6938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy McCain
• Christopher K. McCarley, P.A.
• Monica McCarley, F.N.P.
• Katie Llewellyn Kerr McClain, FNP
• Kelly Tate McClain, MS
• Richard Allen McCluney, M.D.
• James McClurkan, MAE
• Leslie Ellen McCollum, FNP-BC
• Julie McCord, NP-C
• Donna McCormack, M.S. CCC-SLP

• Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.