John Walton Macmillen Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015315 Issued in PA

Practice address

186 Beagle Rd
Mill Hall, PA 17751-9492

Phone

(570) 726-3904

Fax

(570) 726-9919

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• John Walton Macmillen Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093738221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BEAGLE RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177519492",
            "telephone_number": "570-726-3904",
            "fax_number": "570-726-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BEAGLE RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177519492",
            "telephone_number": "570-726-3904",
            "fax_number": "570-726-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLEN",
        "first_name": "JOHN",
        "middle_name": "WALTON",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MACMILLEN",
            "middle_name": "WALTON",
            "suffix": "JR.",
            "credential": "CLINICAL SOCIAL WORK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Walker, LCSW LLC
• Julie M. Lunn, PLLC
• Ron Ross Kanagy, MSW
• Doreen Susan Laubscher, RPH
• Julie Marcella Lunn, O.D.
• Mackenzie Marie Martin, PHARMD
• Nathaniel Paul McClure, CPHT
• Marissa Lynn McDermit, LSW
• Nadine Marie McGraw, PA-C
• Medcare Family Health Services

• Clinical Social Worker in Mill Hall, PA
• Providers in Mill Hall, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.