Provider Demographics
NPI:1841165925
Name:MCCLAIN, SHERANGELIA RAICHEL
Entity type:Individual
Prefix:
First Name:SHERANGELIA
Middle Name:RAICHEL
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-4212
Mailing Address - Country:US
Mailing Address - Phone:314-319-9916
Mailing Address - Fax:314-319-9916
Practice Address - Street 1:1400 N 2ND ST
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-4212
Practice Address - Country:US
Practice Address - Phone:314-319-9916
Practice Address - Fax:314-319-9916
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst