Individual provider Active NPI

Brenda McLean, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1922762129
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016865 Issued in NC
Practice address
2565 Ravenhill Dr Ste 2C
Fayetteville, NC 28303-5414
Phone
(910) 864-1799
Fax
(910) 864-9016
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016865 NC Primary

Addresses

Primary practice location

2565 Ravenhill Dr Ste 2C
Fayetteville, NC 28303-5414

Mailing address

PO Box 48714
Cumberland, NC 28331-8714
Phone (910) 273-0420

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

LicenseStateTypeSpecialty
P016865NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Transit Services CurrentSince May 26, 2024 Accepting new patients
United Counseling and Therapeutic Services LLC Clinical Current Accepting new patients

Locations

2565 Ravenhill Dr
Ste 2C
Fayetteville, NC 28303
Phone (910) 864-1799

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1922762129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48714",
            "city": "CUMBERLAND",
            "state": "NC",
            "postal_code": "283318714",
            "telephone_number": "910-273-0420",
            "fax_number": "910-864-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 RAVENHILL DR STE 2C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035414",
            "telephone_number": "910-864-1799",
            "fax_number": "910-864-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "BRENDA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.