Sue V. McClintock, L.C.S.W.-C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11358 Issued in MD

Practice address

500 W University Pkwy
Suite 1J
Baltimore, MD 21210-3200

Phone

(443) 690-0226

NPI assigned

Feb 20, 2007

Sex

Female

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154466076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 ABELL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183435",
            "telephone_number": "410-467-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W UNIVERSITY PKWY",
            "address_2": "SUITE 1J",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212103200",
            "telephone_number": "443-690-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "SUE",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Odette McClellan, LMSW
• Kierra McClellan
• Rebecca L McClellan, M.G.C.
• Jessica McClelland
• Azariya McClendon, DPM
• De'Asia Lee McClinton
• Michael A. McClinton, M.D.
• Karen McCloskey, LCSW-C
• Amy Jo McClosky, MD
• Andrew James McClure, LGSW

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• 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.