Shantavion McClain

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2660 Cypress Ridge Blvd Ste 101
Wesley Chapel, FL 33544-6324

Phone

(813) 994-4440

Fax

(813) 994-3922

NPI assigned

Dec 4, 2024

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

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1245046267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 CYPRESS RIDGE BLVD STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446324",
            "telephone_number": "813-994-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 CYPRESS RIDGE BLVD STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446324",
            "telephone_number": "813-994-4440",
            "fax_number": "813-994-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "SHANTAVION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC Medical LLC
• Carleigh Jo McAnally
• Sarah McAndrew, APRN
• Sabrie Kishar McCarrall
• Bruce Walter McClain, RN
• Erin McCloskey
• Fiorella De Los Angeles McCosby
• Alexis McCoy
• Jasel Maday McCray
• Carlie Marie McDonald, PHARMD

• Clinical Social Worker in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.