Mclean, Forrest James

Mclean, Forrest James is an sole proprietor health care provider with primary practice located at 120 S Highland St , Lock Haven PA 17745-2812. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mclean, Forrest James can be contacted via phone (570) 748-7173.

Contact Information

Primary practice address
120 S Highland St Lock Haven PA 17745-2812
Phone: (570) 748-7173
Fax: (570) 748-5717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X CW014736 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014736 Pennsylvania

Profile Details

NPI number 1063474393
LBN Legal business name Mclean, Forrest James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jun 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063474393 NPPES
Pennsylvania Other Q19362 HEALTHAMERICA
Pennsylvania Other 140178 HEALTHAMERICA
Pennsylvania MEDICAID 1010159960003 HEALTHAMERICA
Pennsylvania Other 817343 HEALTHAMERICA

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