Provider Demographics
NPI:1316781230
Name:MCCLELLAND, LAURAN (MSW)
Entity type:Individual
Prefix:
First Name:LAURAN
Middle Name:
Last Name:MCCLELLAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 BROWBAND ST
Mailing Address - Street 2:
Mailing Address - City:TROUTMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28166-8843
Mailing Address - Country:US
Mailing Address - Phone:704-918-5886
Mailing Address - Fax:
Practice Address - Street 1:862 BRAWLEY SCHOOL RD STE 202
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8154
Practice Address - Country:US
Practice Address - Phone:704-659-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical