Active NPI
Crystal McLean, LCSWA
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1376225524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021885
- Practice address
- 3937 Tamerlane
Charlotte, NC 28205-4959 - Phone
- (315) 868-0071
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18330 | SC | |
| Social Worker | 104100000X | B001228 | NC | |
| Social Worker | 104100000X | 111116 | TX | |
| Social Worker | 104100000X | MSW012443 | GA | |
| Clinical Social Worker | 1041C0700X | P021885 | NC | Primary |
Addresses
Primary practice location
3937 Tamerlane
Charlotte, NC 28205-4959
Mailing address
8290 Number 2 Rd E
Manlius, NY 13104-8795
Phone (315) 868-0071
Other practice location 1
4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916
Phone (980) 704-2419
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW012443 | GA | MD | Social Worker |
| B001228 | NC | MD | Social Worker |
| 18330 | SC | MD | Social Worker |
| 111116 | TX | MD | Social Worker |
| P021885 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobbi L Petranchuk LCSW PLLC | Clinical | 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.
-
- Clinical Social Worker
- Evans Mills, NY
- NPI 1982479168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1376225524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8290 NUMBER 2 RD E",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131048795",
"telephone_number": "315-868-0071",
"fax_number": "855-485-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 TAMERLANE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282054959",
"telephone_number": "315-868-0071"
}
],
"practiceLocations": [
{
"address_1": "4651 Charlotte Park Dr Ste 101C",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282171916",
"country_code": "US",
"telephone_number": "980-704-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "CRYSTAL",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "18330",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "B001228",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "111116",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW012443",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.