ELIZABETH ROSE BLACK MCCLELLAN (NPI# 1124564679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124564679 |
| Entity Type | Individual |
| Full Name | ELIZABETH ROSE BLACK MCCLELLAN |
| Other Name | ELIZABETH ROSE BLACK |
| Practice Address |
35 N Summit Ave Gaithersburg MD 20877-2921 |
| Mailing Address |
620 E Diamond Ave Ste H Gaithersburg MD 20877-5328 |
| Practice Telephone | 2407404900 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
26128 | MD | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
35 N SUMMIT AVE |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053431106 | Montgomery County Maryland Government | Clinic/Center | 35 N Summit Ave, Gaithersburg, MD 20877-2921 | 2007-03-30 |
| 1730647793 | Jennifer Lynn Thoman | Speech-Language Pathologist | 35 N Summit Ave, Gaithersburg, MD 20877-2921 | 2019-03-08 |
| 1366609059 | Kathryn Kraemer Mccoy | Nurse Practitioner | 35 N Summit Ave, Gaithersburg, MD 20877-2921 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700871 | Michelle Anderson | Social Worker | 813 Pointer Ridge Dr, Gaithersburg, MD 20878-1130 | 2020-08-13 |
| 1891350906 | Lauren Biggs | Social Worker | 24063 Newbury Rd, Gaithersburg, MD 20882-4007 | 2019-05-03 |
| 1487130787 | Marie Brizard Delices | Social Worker | 7905 Brethren Dr, Gaithersburg, MD 20879-5640 | 2018-07-19 |
| 1144713678 | Amelia Holgash | Social Worker | 845 Quince Orchard Blvd Ste F, Gaithersburg, MD 20878-1676 | 2018-06-09 |
| 1780172338 | Ashley Camille Allen | Social Worker | 101 Lakeforest Blvd Ste 302, Gaithersburg, MD 20877-2629 | 2018-04-30 |
| 1649774456 | Michael Joseph Saco Barga | Social Worker | 18715 N Frederick Ave, Gaithersburg, MD 20879-3121 | 2018-03-19 |
| 1629585245 | Lakisha Moniq Shears | Social Worker | 501 N Frederick Ave. Suite 300, Gaithersburg, MD 20877-1828 | 2018-01-04 |
| 1740793884 | Alexandra Marie Sheraw | Social Worker | 124 Ellington Blvd Apt 275, Gaithersburg, MD 20878-4566 | 2017-11-12 |
| 1225580202 | Andrew Paul Darby | Social Worker | 15932 Shady Grove Rd Unit B, Gaithersburg, MD 20877-1314 | 2016-10-26 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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| 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.