Active NPI
John McLain, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1992892566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000338
- Practice address
- 100 Capitola Dr Ste 108
Alexandria Technology Center
Durham, NC 27713-4496 - Phone
- (919) 484-0601
- Fax
- (919) 484-0306
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 | C000338 | NC | Primary |
Addresses
Primary practice location
100 Capitola Dr Ste 108
Alexandria Technology Center
Durham, NC 27713-4496
Mailing address
3100 Eubanks Rd
Durham, NC 27707-3623
Phone (919) 270-6525
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002356 | Medicaid | NC | |
| 60260 | Other | NC | BCBS |
| 2110776 | Other | NC | MAMSI |
| 6002385 | Medicaid | NC | |
| C000338 | Other | NC | UBH |
| 2119613 | Other | NC | CIGNA |
| C000338 | Other | NC | UNITED HEALTH CARE |
| 131411 | Other | NC | VALUE OPTIONS |
| 258078 | Other | NC | MHN |
| 60260 | Other | NC | HEALTHCHOICE |
| 60260 | Other | NC | MEDCOST |
| 6272698 | Other | NC | UBH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000338 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992892566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 EUBANKS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073623",
"telephone_number": "919-270-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAPITOLA DR STE 108",
"address_2": "ALEXANDRIA TECHNOLOGY CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134496",
"telephone_number": "919-484-0601",
"fax_number": "919-484-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002356",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60260",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2110776",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002385",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "C000338",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2119613",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "C000338",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "131411",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "258078",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCHOICE",
"identifier": "60260",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "60260",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6272698",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.