Black Mcclellan, Elizabeth Rose

Black Mcclellan, Elizabeth Rose is an individual health care provider with primary practice located at 35 N Summit Ave , Gaithersburg MD 20877-2921. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Black Mcclellan, Elizabeth Rose can be contacted via phone (240) 740-4900.

Contact Information

Primary practice address
35 N Summit Ave Gaithersburg MD 20877-2921
Phone: (240) 740-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26128 Maryland

Profile Details

NPI number 1124564679
LBN Legal business name Black Mcclellan, Elizabeth Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2017
Last updated Sep 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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