Active NPI
Lawrance H McClung, LICSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1366426132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61173433
- Practice address
- 1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713 - Phone
- (360) 558-5728
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW61173433 | WA | Primary |
| Clinical Social Worker | 1041C0700X | 5199106-3501 | UT |
Addresses
Primary practice location
1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713
Mailing address
1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713
Phone (360) 558-5728
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107035228101 | Other | UT | U006 |
| 51991063500001 | Other | UT | BLUE CROSS |
| 885125 | Other | UT | U002 |
| 942938348MCM | Other | UT | U003 |
Other names 1
- Lawrance H McClung
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61173433 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1366426132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-558-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-558-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "LAWRANCE",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61173433",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5199106-3501",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U006",
"identifier": "107035228101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51991063500001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U002",
"identifier": "885125",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U003",
"identifier": "942938348MCM",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAWRANCE",
"last_name": "MCCLUNG",
"middle_name": "H",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.