Provider Demographics
NPI:1255061610
Name:POLLOCK, MCLEAN DICKINSON (PHD, MSW)
Entity type:Individual
Prefix:
First Name:MCLEAN
Middle Name:DICKINSON
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:MCLEAN
Other - Middle Name:POLLOCK
Other - Last Name:KRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MSW
Mailing Address - Street 1:1537 WESTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1154
Mailing Address - Country:US
Mailing Address - Phone:919-323-0337
Mailing Address - Fax:
Practice Address - Street 1:2400 PRATT ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3976
Practice Address - Country:US
Practice Address - Phone:919-385-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical