Individual provider Active NPI

Brandon Lee McClanahan, MSSW, CSW

  • Social Worker
  • New Albany, IN
National Provider Identifier
1790267334
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
253446 Issued in KY
Practice address
618 E Market St
New Albany, IN 47150-2914
Phone
(812) 280-2080
NPI assigned
Aug 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009076A IN
Social Worker 104100000X 253446 KY Primary

Addresses

Primary practice location

618 E Market St
New Albany, IN 47150-2914

Mailing address

618 E Market St
New Albany, IN 47150-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410000181 IN Practitioner - Clinical Social Worker 1355716135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33009076AINMDSocial Worker
253446KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Mar 14, 2023 Accepting new patients
Lifespring, Inc CurrentSince Mar 14, 2023 Accepting new patients

Locations

432 E Court Ave
Jeffersonville, IN 47130
Phone (812) 206-0012

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

618 E Market St
New Albany, IN 47150
Phone (502) 579-1278

Organizations & group practices 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1790267334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E MARKET ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E MARKET ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502914",
            "telephone_number": "812-280-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "MSSW, CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009076A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "253446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.