Provider Demographics
NPI:1740410828
Name:MCCLELLAN, DONNA LAWING (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LAWING
Last Name:MCCLELLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2496 BROOK HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8985
Mailing Address - Country:US
Mailing Address - Phone:828-433-9831
Mailing Address - Fax:
Practice Address - Street 1:2496 BROOK HOLLOW ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8985
Practice Address - Country:US
Practice Address - Phone:828-433-9831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical