Provider Demographics
NPI:1194785576
Name:MCLOONE, PAUL MICHAEL (LCSW)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MICHAEL
Last Name:MCLOONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WINDSOR PASS
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2030
Mailing Address - Country:US
Mailing Address - Phone:610-724-9205
Mailing Address - Fax:610-270-0556
Practice Address - Street 1:25 W FORNANCE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3313
Practice Address - Country:US
Practice Address - Phone:610-272-1080
Practice Address - Fax:610-270-0556
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0131461041C0700X
NJ44SC051741001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical