Elizabeth A McClendon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

37 Evergreen PL
East Orange, NJ 07018-2154

Phone

(973) 266-7992

Fax

(973) 266-7950

NPI assigned

Jan 30, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mount Carmel Guild Behavioral Health

  • Psychiatric Hospital
  • Newark, NJ
  • NPI 1790856375

  Clinical

  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1013194240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HORY ST",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032337",
            "telephone_number": "908-259-9192",
            "fax_number": "973-266-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182154",
            "telephone_number": "973-266-7992",
            "fax_number": "973-266-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas McBride, PHD
• Julia M McCall-Mboya, D.P.M.
• Svedra McCall, BEHAVIOR TECHNICIAN
• Euseferia Pana McCarthy, RPH
• Laura McCarthy, LPC, ACS
• Eileen McGee-Caulfield, PH.D.
• Carl L McGloster, DR
• Shana-Kaye McKay
• Marisa H McKibban, P.A.
• Tonya Felicia McKinley

• Clinical Social Worker in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.