Active NPI
Forrest James McLean, LCSW
- Clinical Social Worker
- Lock Haven, PA
National Provider Identifier
1063474393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014736
- Practice address
- 120 S Highland St
Lock Haven, PA 17745-2812 - Phone
- (570) 748-7173
- Fax
- (570) 748-5717
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW014736 | PA | |
| Clinical Social Worker | 1041C0700X | CW014736 | PA | Primary |
Addresses
Primary practice location
120 S Highland St
Lock Haven, PA 17745-2812
Mailing address
120 S Highland St
Lock Haven, PA 17745-2812
Phone (570) 748-7173
Other practice location 1
Rr. 121 E. Main St.
Suite 102
Lock Haven, PA 17745-1305
Phone (570) 772-0310
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q19362 | Other | PA | HEALTHAMERICA |
| 140178 | Other | PA | VALUE OPTIONS |
| 1010159960003 | Medicaid | PA | |
| 817343 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1063474393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S HIGHLAND ST",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452812",
"telephone_number": "570-748-7173",
"fax_number": "570-748-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S HIGHLAND ST",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452812",
"telephone_number": "570-748-7173",
"fax_number": "570-748-5717"
}
],
"practiceLocations": [
{
"address_1": "Rr. 121 E. Main St.",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Lock Haven",
"state": "PA",
"postal_code": "177451305",
"country_code": "US",
"telephone_number": "570-772-0310",
"fax_number": "570-748-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "FORREST",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW014736",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "Q19362",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "140178",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010159960003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "817343",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.