Provider Demographics
NPI:1831794478
Name:MCCLUNE, LINDSAY (LMSW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MCCLUNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 KEN OAK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4438
Mailing Address - Country:US
Mailing Address - Phone:206-226-4344
Mailing Address - Fax:
Practice Address - Street 1:10433 STEVENSON RD
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:MD
Practice Address - Zip Code:21153-0602
Practice Address - Country:US
Practice Address - Phone:410-849-9223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD259541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical