Provider Demographics
NPI:1205256344
Name:MCCLUNG, CARA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:
Last Name:MCCLUNG
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4494 WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-4886
Mailing Address - Country:US
Mailing Address - Phone:423-290-0594
Mailing Address - Fax:
Practice Address - Street 1:7345 COURAGE WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1555
Practice Address - Country:US
Practice Address - Phone:423-602-9797
Practice Address - Fax:423-602-9796
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN58791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5879OtherTENNESSEE DEPARTMENT OF HEALTH