Individual provider Active NPI

Eric Darnell McClure, MSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1174967830
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092425 Issued in MI
Practice address
3600 King Rd
Saginaw, MI 48601-7140
Phone
(734) 788-0557
NPI assigned
Apr 24, 2013
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092425 MI Primary

Addresses

Primary practice location

3600 King Rd
Saginaw, MI 48601-7140

Mailing address

8703 N Fitzgerald Way
Missouri City, TX 77459-6737
Phone (734) 788-0557

Other practice location 1

3600 King Rd
Saginaw, MI 48601-7140
Phone (734) 788-0557

Other identifiers 1

IdentifierTypeStateIssuer
11174967830MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217002600 MI Practitioner - Clinical Social Worker 7214232933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67467TXMDProfessional Counselor
6801092425MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace & Calm Counseling LLC. Clinical CurrentSince Jun 15, 2021 Accepting new patients
Terapeut Counseling & Consultation Clinical CurrentSince Nov 3, 2019 Accepting new patients
Terapuet Counseling & Consultation Clinical CurrentSince Nov 17, 2019 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1174967830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 N FITZGERALD WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596737",
            "telephone_number": "734-788-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KING RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486017140",
            "telephone_number": "734-788-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 King Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486017140",
            "country_code": "US",
            "telephone_number": "734-788-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ERIC",
        "middle_name": "DARNELL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11174967830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.