Individual provider Active NPI

Colleen A McClanahan, LISW

  • Clinical Social Worker
  • Lebanon, OH
National Provider Identifier
1215359187
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-1451325 Issued in OH
Practice address
975 Kingsview Dr
Lebanon, OH 45036-9562
Phone
(513) 228-7800
Fax
(513) 228-7848
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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 I-1451325 OH Primary

Addresses

Primary practice location

975 Kingsview Dr
Lebanon, OH 45036-9562

Mailing address

975 Kingsview Dr
Suite 400
Lebanon, OH 45036-9562
Phone (513) 228-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151022002091 OH Practitioner - Clinical Social Worker 6608185145 Reassigns benefits to 1 organization
I20251107003942 IN Practitioner - Clinical Social Worker 6608185145 Reassigns benefits to 1 organization
I20251229003620 MN Practitioner - Clinical Social Worker 6608185145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plum Behavioral Health Services LLCGroup PAC ID 9032622519, 2 clinicians

Practice addresses (Care Compare)

1048 B Sagamore Pkwy W
Suite 1048
West Lafayette, IN 47906-1446
Phone (877) 758-6328

208 Fire Monument Rd
Hinckley, MN 55037-8310
Phone 8777586328706

8840 Longbow PL
Maineville, OH 45039-9520
Phone (877) 758-6328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-1451325OHMDClinical Social Worker
30871MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Behavioral Health Services LLC CurrentSince May 1, 2025 Accepting new patients
Community Mental Heatlh Centers of Warren County, Inc. PastSince Oct 1, 2015 Accepting new patients

Locations

1048B Sagamore Pkwy W
West Lafayette, IN 47906
Phone (877) 758-6328

208 Fire Monument Rd
Hinckley, MN 55037
Phone (320) 336-0036

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1215359187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DR",
            "address_2": "SUITE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369562",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 KINGSVIEW DR",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369562",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-1451325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.