Active NPI
Douglas McClain, LMSW
- Social Worker
- Dundalk, MD
National Provider Identifier
1760094916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G09049
- Practice address
- 7811 Wise Ave
Dundalk, MD 21222-3339 - Phone
- (443) 530-6533
- NPI assigned
- Aug 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | G09049 | MD | Primary |
Addresses
Primary practice location
7811 Wise Ave
Dundalk, MD 21222-3339
Mailing address
2227 W Saratoga St
Baltimore, MD 21223
Phone (240) 319-6584
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
| License | State | Type | Specialty |
|---|---|---|---|
| G09049 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1760094916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 W SARATOGA ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21223",
"telephone_number": "240-319-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7811 WISE AVE",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212223339",
"telephone_number": "443-530-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "DOUGLAS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G09049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.