Active NPI
Irene U. McClellan, LCSW, MSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1811140106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004179
- Practice address
- 820 South Boylan Ave
Dorothea Dix Hospital
Raleigh, NC 27603 - Phone
- (919) 733-7826
- Fax
- (919) 733-7439
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004179 | NC | Primary |
Addresses
Primary practice location
820 South Boylan Ave
Dorothea Dix Hospital
Raleigh, NC 27603
Mailing address
3308 Glen Currin Dr.
Raleigh, NC 27612
Phone (919) 881-9478
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 |
|---|---|---|---|
| C004179 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1811140106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 GLEN CURRIN DR.",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27612",
"telephone_number": "919-881-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SOUTH BOYLAN AVE",
"address_2": "DOROTHEA DIX HOSPITAL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27603",
"telephone_number": "919-733-7826",
"fax_number": "919-733-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "IRENE",
"middle_name": "U.",
"name_prefix": "Ms.",
"credential": "LCSW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.