Provider Demographics
NPI:1205982493
Name:MCLAREN, MARIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:MCLAREN
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 1:12230 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1025
Mailing Address - Country:US
Mailing Address - Phone:718-591-6750
Mailing Address - Fax:
Practice Address - Street 1:7150 PARSONS BLVD
Practice Address - Street 2:CHILD CENTER OF NEW YORK
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-4131
Practice Address - Country:US
Practice Address - Phone:718-591-6750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR053425-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker