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Contact Information

ELIZABETH R BLACK MCCLELLAN
35 N SUMMIT AVE
GAITHERSBURG, MD20877-2921
 Phone: 240-740-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH R BLACK MCCLELLAN · (Female)

NPI Number 1124564679
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2017
Last updated 09/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 26128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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