Shannon Christy McClelland, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106590 Issued in MI

Practice address

1550 N Milford Rd Ste 205
Milford, MI 48381-1058

Phone

(248) 721-5466

Fax

(248) 562-3210

NPI assigned

Jun 9, 2021

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)

Enrolled

Practice roles

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.

• Beth M. Berman Psy.D. PC

  • Psychologist
  • Milford, MI
  • NPI 1952539025
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1336716000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 PORTER RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483832425",
            "telephone_number": "248-721-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MILFORD RD STE 205",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811058",
            "telephone_number": "248-721-5466",
            "fax_number": "248-562-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1787 Porter Rd",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483832425",
            "country_code": "US",
            "telephone_number": "248-721-5466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6549 Town Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464824",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "SHANNON",
        "middle_name": "CHRISTY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marttila, OTRL
• Kelly Mattingly, LMSW
• Christine Maxim, N.P.
• Kristina Mays, LMT
• Daniel Achill McBride, MD
• Sara McGinnis
• Kecia Kay McKane
• Connor McNeely
• Medilodge of Milford, LLC
• Rachel Meier

• Clinical Social Worker in Milford, MI
• Providers in Milford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.