Individual provider Active NPI

Allan Bruce McClary, LCSW, CCM

  • Clinical Social Worker
  • Nottingham, MD
National Provider Identifier
1053642157
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05762 Issued in MD
Practice address
4206 Necker Ave
Nottingham, MD 21236-2922
Phone
(667) 532-9420
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 030437 MD
Clinical Social Worker 1041C0700X 05762 MD Primary

Addresses

Primary practice location

4206 Necker Ave
Nottingham, MD 21236-2922

Mailing address

4206 Necker Ave
Nottingham, MD 21236-2922
Phone (667) 532-9420

Other practice location 1

707 N Broadway
Patient Accounting
Baltimore, MD 21205-1832
Phone (443) 923-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20240816001087 MD Practitioner - Clinical Social Worker 5597203901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05762MDMDClinical Social Worker
030437MDMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Krieger Associates CurrentSince May 23, 2024 Accepting new patients
McClary Counseling, LLC Clinical CurrentSince Jun 3, 2026 Accepting new patients
Kennedy Krieger Associates CurrentSince May 23, 2024 Accepting new patients

Locations

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

1741 Ashland Ave
Ste 642
Baltimore, MD 21205

2931 E Biddle St
Baltimore, MD 21213
Phone (443) 923-1872

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1053642157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 NECKER AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362922",
            "telephone_number": "667-532-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 NECKER AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362922",
            "telephone_number": "667-532-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Broadway",
            "address_2": "Patient Accounting",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051832",
            "country_code": "US",
            "telephone_number": "443-923-9400",
            "fax_number": "443-923-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLARY",
        "first_name": "ALLAN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "030437",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.