Active NPI
John Benjamin McLean, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1487927828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7971
- Practice address
- 2105 Liberty St NE
Salem, OR 97301-8353 - Phone
- (541) 638-5038
- NPI assigned
- Feb 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | L7971 | OR | Primary |
Addresses
Primary practice location
2105 Liberty St NE
Salem, OR 97301-8353
Mailing address
7891 Terrance LN SE
Aumsville, OR 97325-9782
Phone (541) 638-5038
Other practice location 1
125 SE Court Ave Ste 6
Pendleton, OR 97801
Phone (541) 278-8600
Other practice location 2
1445 8th St
Florence, OR 97439-9351
Phone (541) 997-6261 ext. 1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1487927828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7891 TERRANCE LN SE",
"city": "AUMSVILLE",
"state": "OR",
"postal_code": "973259782",
"telephone_number": "541-638-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 LIBERTY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973018353",
"telephone_number": "541-638-5038"
}
],
"practiceLocations": [
{
"address_1": "125 SE Court Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Pendleton",
"state": "OR",
"postal_code": "97801",
"country_code": "US",
"telephone_number": "541-278-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 8th St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974399351",
"country_code": "US",
"telephone_number": "541-997-6261 x1415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "JOHN",
"middle_name": "BENJAMIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-15",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.