Individual provider Active NPI

John Benjamin McLean, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1487927828
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7971 Issued in OR
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

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Verify at the official NPI Registry.