Juwell Ashili McClendon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100286 Issued in CA

Practice address

Comnavsurfpac 2730 McKean St Building 291
San Diego, CA 92136-0001

Phone

(760) 871-8141

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Juwell Ashili McClendon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Neighborhood Therapist Licensed Clinical Social Worker

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1568174852
  NPD Authorized official
• San Diego Youth Services

  • Voluntary or Charitable Agency
  • San Diego, CA
  • NPI 1326172875
  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1538637533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC 2730 MCKEAN ST BUILDING 291",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC 2730 MCKEAN ST BUILDING 291",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921360001",
            "telephone_number": "760-871-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34730 Bob Wilson Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921340001",
            "country_code": "US",
            "telephone_number": "619-532-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Camino Del Rio N",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921085720",
            "country_code": "US",
            "telephone_number": "760-871-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "JUWELL",
        "middle_name": "ASHILI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUWELL",
            "last_name": "MCCLENDON",
            "middle_name": "ASHILI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda McClellan
• Nickolas Tyler McClellan, IDC
• Edwin Bashaw McClelland, M.D.
• Kyra McClelland
• Brody McClendon
• Kayla McClendon
• Rachelle Nicole McClenney, CRNA
• Nicole C McCleod, SOCIAL WORKER
• Alyssa Janelle McClintick
• Alicia McClintock, M.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.