Justin McClain, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW12771 Issued in FL

Practice address

226 13TH Ave NE Apt 5
St Petersburg, FL 33701-1234

Phone

(904) 525-0268

NPI assigned

Nov 8, 2012

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Again Counseling

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1407210800

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1922352251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 13TH AVE NE APT 5",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011234",
            "telephone_number": "904-525-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 13TH AVE NE APT 5",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011234",
            "telephone_number": "904-525-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12771",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meggan Rose McCarthy, PTA
• Phoung Haboon McCarthy, P.T.A.
• Billy McCarty, MD
• Jodi McCauley, ARNP,CNM
• Jonathan McChesney, PTA
• Michael McClain, LCSW
• Byron Seth McClellan, PHARMD
• Mary Susan McClelland, B.A.
• Daniel Theodore McClenathan, MD
• Donnilah Pasha McClendon

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.