Provider Demographics
NPI:1154345163
Name:MCLAUGHLIN, JAMES SAMUEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SAMUEL
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:SAMUEL
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:190 W PARK AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-2277
Mailing Address - Country:US
Mailing Address - Phone:814-375-6817
Mailing Address - Fax:814-375-0922
Practice Address - Street 1:190 W PARK AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2277
Practice Address - Country:US
Practice Address - Phone:814-375-6817
Practice Address - Fax:814-375-0922
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0146231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical