Patrick McClellan, DSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

879 W Jackson St Ste B
Cookeville, TN 38501-5901

Phone

(931) 244-2804

NPI assigned

Nov 26, 2024

Sex

Male

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)

Not 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 and National Provider Directory roles.

• Coalesce Social Services, Inc.

  • Peer Specialist
  • Cookeville, TN
  • NPI 1083439376
  NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1073339784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901",
            "telephone_number": "931-244-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901",
            "telephone_number": "931-244-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "PATRICK",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M McAfee, M.D.
• Sharon McBroom
• Jeffrey Harmon McCarter, M.D.
• Kim McCartt
• Wendy Carmel McClain, D.P.M.
• Callie Annette McCloud
• Amber McClurkan, LCSW
• Micah McColloch, PTA
• Tammy McCoy, MS
• Ashleyaunna Marie McDaniels

• Peer Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Peer Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.