Individual provider Active NPI

Allison McClain, LCSW

  • Clinical Social Worker
  • West Orange, NJ
National Provider Identifier
1225674716
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8 Marcella Ave
West Orange, NJ 07052-4164
Phone
(973) 736-2041
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 Primary

Addresses

Primary practice location

8 Marcella Ave
West Orange, NJ 07052-4164

Mailing address

8 Marcella Ave
West Orange, NJ 07052-4164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allie@mainstcounseling.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20221213002030 NJ Practitioner - Clinical Social Worker 2062881097

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Counseling Service CurrentSince Nov 29, 2022 Accepting new patients
Main St Counseling Center Clinical PastSince Nov 24, 2019 Accepting new patients

Locations

8 Marcella Ave
West Orange, NJ 07052
Phone (973) 736-2041

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1225674716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ALLISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allie@mainstcounseling.org",
            "affiliation": "N",
            "address_1": "8 Marcella Ave",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.