Provider Demographics
NPI:1942859608
Name:MCLENNAN, KATHRYN (LCSW)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:MCLENNAN
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 1:137 PARK LN
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2279
Mailing Address - Country:US
Mailing Address - Phone:512-468-2653
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PARKWAY, SUITE C
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7554
Practice Address - Country:US
Practice Address - Phone:512-643-5440
Practice Address - Fax:512-649-1022
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical