Mariqez McClain

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

TS34366 Issued in OH

Practice address

491 Georgesville Rd
Columbus, OH 43228-2420

Phone

(614) 618-5000

NPI assigned

Oct 5, 2024

Last updated

Oct 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1728086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1073332243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 WAGER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282420",
            "telephone_number": "614-618-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "MARIQEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "TS34366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea McClain
• Andrew Thomas McClain, RPH
• Deanna Elizabeth McClain
• Joanna McClain, LCDC III
• Julie M McClain, FNP-BC
• Megan Elizabeth McClain, RPH
• Purity McClain
• Rebecca Ann McClain, CNP
• Renee L McClain, CRNA
• Taliethia McClain

• Community Health Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; 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.