Individual provider Active NPI

Jennifer L. McClean, L.C.S.W.

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1972606762
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14034 Issued in CA
Practice address
6354 Painter Ave Ste D
Suite D
Whittier, CA 90601-4632
Phone
(562) 693-6766
Fax
(562) 698-7058
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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 14034 CA Primary

Addresses

Primary practice location

6354 Painter Ave Ste D
Suite D
Whittier, CA 90601-4632

Mailing address

6354 Painter Ave Ste D
Suite D
Whittier, CA 90601-4632
Phone (562) 693-6766

Other names 1

  • Ms. Jennifer L. McClean Other name

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
14034CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1972606762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 PAINTER AVE STE D",
            "address_2": "SUITE D",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014632",
            "telephone_number": "562-693-6766",
            "fax_number": "562-698-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 PAINTER AVE STE D",
            "address_2": "SUITE D",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014632",
            "telephone_number": "562-693-6766",
            "fax_number": "562-698-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAN",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "14034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCLEAN",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "JENNIFER MCCLEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.