MRS. SHANEKA L MCCLARTY (NPI# 1124356738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124356738 |
Entity Type | Individual |
Full Name | MRS. SHANEKA L MCCLARTY |
Credential | LCPC |
Practice Address |
2919 Burrows Lane Ellicott City MD 21043 |
Practice Telephone | (678) 871-9831 |
Practice Fax Number | 4045926425 |
Mailing Telephone | (678) 871-9831 |
Mailing Fax Number | 4045926425 |
Enumeration Date | 2009-11-20 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LC7392 | MD | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
005789 | GA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1825 Morning Star Ln, Tucker, GA 300847150 | 4044210069 | 4045926425 |
Street Address |
2919 BURROWS LANE |
City | ELLICOTT CITY |
State | MD |
Zip Code | 21043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
Find all providers in zip 21043 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366056319 | Evan Paul Steinhorst | Counselor | 840 Oella Ave Apt 227, Ellicott City, MD 21043-4959 | 2020-09-06 |
1396224507 | Benjamin John Ferguson II | Counselor | 3451 Court House Dr, Ellicott City, MD 21043-4337 | 2018-08-08 |
1841777992 | Christopher Hall | Counselor | 4786 Ilkley Moor Ln, Ellicott City, MD 21043-2104 | 2018-07-22 |
1073060828 | Abhik Saha | Counselor | 787 Oella Ave, Ellicott City, MD 21043-4727 | 2016-09-08 |
1073872453 | Barbara Hope Hunter | Counselor | 5211 New Prospect Ct, Ellicott City, MD 21043-6679 | 2012-05-06 |
1699049346 | Marcia Annmarie Wilmot | Counselor | 5124 Dorsey Hall Dr, Suite 202, Ellicott City, MD 21042-7870 | 2012-02-27 |
1386941649 | Therese Conley | Counselor | 10209 Spruce Way, Ellicott City, MD 21042-1668 | 2011-02-23 |
1821398132 | Norma Stevens | Counselor | 6011 University Blvd Ste 100, Ellicott City, MD 21043-6108 | 2010-11-02 |
1194046987 | Chun Shin Taylor | Counselor | 3355 St.johns Lane, Suite J, Ellicott City, MD 21042 | 2010-06-16 |
1326227208 | Remy Brooke Chappell | Counselor | 4213 Pulitzer Cir, Ellicott City, MD 21042-6244 | 2007-10-29 |
Find all providers in ELLICOTT CITY |
City | ELLICOTT CITY |
Zip Code | 21043 |
Please comment or provide details below to improve the information on MRS. SHANEKA L MCCLARTY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.