Individual provider Active NPI

Zackery McClain, LMSW

  • Social Worker
  • Birmingham, AL
National Provider Identifier
1285331207
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6067G Issued in AL
Practice address
400 Century Park S Ste 106
Birmingham, AL 35226-3925
Phone
(251) 272-5736
NPI assigned
Feb 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6067G AL Primary
Social Worker 104100000X 29501 MD

Addresses

Primary practice location

400 Century Park S Ste 106
Birmingham, AL 35226-3925

Mailing address

1312 River Haven LN
Hoover, AL 35244-1257
Phone (251) 635-8012

Other practice location 1

9841 Washingtonian Blvd Ste 200-1167
Gaithersburg, MD 20878-5389
Phone (251) 272-5736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6067GALMDSocial Worker
29501MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McClain'S Mental Matters LLC Current Accepting new patients

Organizations & group practices 1

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": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1285331207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 RIVER HAVEN LN",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441257",
            "telephone_number": "251-635-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTURY PARK S STE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263925",
            "telephone_number": "251-272-5736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9841 Washingtonian Blvd Ste 200-1167",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208785389",
            "country_code": "US",
            "telephone_number": "251-272-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ZACKERY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6067G",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "29501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.