Individual provider Active NPI

Susan McClare, LMT, MMP

  • Massage Therapist
  • Millersville, MD
National Provider Identifier
1750853404
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M05967 Issued in MD
Practice address
8338 Veterans Hwy Ste 205B
Millersville, MD 21108-2637
Phone
(410) 507-7158
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X M05967 MD Primary

Addresses

Primary practice location

8338 Veterans Hwy Ste 205B
Millersville, MD 21108-2637

Mailing address

55 Stratford Dr
Severna Park, MD 21146-1803
Phone (410) 507-7158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M05967MDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Wellness Massage LLC Massage Therapist CurrentSince Jun 8, 2025 Accepting new patients

Locations

8338 Veterans Hwy
Ste 205B
Millersville, MD 21108
Phone (410) 507-7158

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1750853404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STRATFORD DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461803",
            "telephone_number": "410-507-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 VETERANS HWY STE 205B",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082637",
            "telephone_number": "410-507-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARE",
        "first_name": "SUSAN",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M05967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.