NPIMap

Organization Active NPI

Pauletta McClenan LCSW PC

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1427029065
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0693321 Issued in NY
Legal business name
PAULETTA MCCLENAN LCSW PC
Practice address
50 Hempstead Ave
Ste I
Lynbrook, NY 11563
Phone
(516) 507-0536
Fax
(866) 718-7573
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Pauletta McClenan, LCSWNPI 1124846878
Title
Owner
Phone
(516) 507-0536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0693321 NY Primary

Addresses

Primary practice location

50 Hempstead Ave
Ste I
Lynbrook, NY 11563

Mailing address

50 Hempstead Ave
Ste I
Lynbrook, NY 11563
Phone (516) 507-0536

Other identifiers 2

IdentifierTypeStateIssuer
81454800OtherNYMAGELLAN
60054OtherNYAETNA

National Provider Directory

National Provider Directory

Locations

50 Hempstead Ave
Ste I
Lynbrook, NY 11563
Phone (516) 445-9392

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1427029065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HEMPSTEAD AVE",
            "address_2": "STE I",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-507-0536",
            "fax_number": "866-718-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HEMPSTEAD AVE",
            "address_2": "STE I",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-507-0536",
            "fax_number": "866-718-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTA MCCLENAN LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "MCCLENAN",
        "authorized_official_first_name": "PAULETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-507-0536",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0693321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "81454800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.