Active NPI
Stephanie Elizabeth Maclennan, LCSW-R
- Clinical Social Worker
- Woodside, NY
National Provider Identifier
1922713692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085907-01
- Practice address
- 3978 52ND St # 2
Woodside, NY 11377-3257 - Phone
- (516) 946-9377
- NPI assigned
- Jan 17, 2023
- 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 | 085907-01 | NY | Primary |
Addresses
Primary practice location
3978 52ND St # 2
Woodside, NY 11377-3257
Mailing address
3978 52ND St # 2
Woodside, NY 11377-3257
Phone (516) 946-9377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085907-01 | Other | NY | NYS OFFICE OF THE PROFESSIONS |
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 |
|---|---|---|---|
| 085907-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1922713692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3978 52ND ST # 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773257",
"telephone_number": "516-946-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3978 52ND ST # 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773257",
"telephone_number": "516-946-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLENNAN",
"first_name": "STEPHANIE",
"middle_name": "ELIZABETH",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085907-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFESSIONS",
"identifier": "085907-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.