Carlene Louise McClung
Individual provider Active NPI Case Manager/Care Coordinator · Maxwelton, WV
NPI 1750134557 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1750134557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 667-9932
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
131 Wellness Dr
Summersville, WV 26651-5402
Phone (304) 667-9932
Other providers in Maxwelton, WV
- Ahisha Marshall
- Richard Lee Martin Jr.
- Tabatha Sue Martin
- Tammy Lou Martin
- Hailey Shae McCallister
- Jennifer Merrill
- Audrey Mayann Miller
- Mark Ambrose Miller
- Madeleine Wynne Mohler
- Logan Kent Morgan
All providers in Maxwelton, WV · Case Manager/Care Coordinator in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.