Thomas G McLellan III, L.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW012708L Issued in PA

Practice address

615 E McMurray Rd
McMurray, PA 15317-3497

Phone

(724) 942-3996

Fax

(724) 942-2571

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487717336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TAMARACK DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151261155",
            "telephone_number": "412-389-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MCMURRAY RD",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153173497",
            "telephone_number": "724-942-3996",
            "fax_number": "724-942-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN III",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "L.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW012708L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "SW012708L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Agnieszka Marczak, O.D.
• Susan Mavrich, PT
• David J. Mayberry, D.M.D
• Ann B McCune, M.D.
• Colleen E McGuigan, LSW
• John C McShane, D.M.D.
• Medexpress Urgent Care PC - Pennsylvania
• Mertens Dental Associates
• Erik Ryder Mertens, D.M.D
• Douglas Mickey, OT

• Clinical Social Worker in McMurray, PA
• Providers in McMurray, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.