Provider Demographics
NPI:1831948462
Name:MCCLEARN, MEGAN (LMHC, CASAC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCCLEARN
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BARNEY RD STE 234
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-5835
Mailing Address - Country:US
Mailing Address - Phone:518-517-5979
Mailing Address - Fax:
Practice Address - Street 1:1 BARNEY RD STE 234
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-5835
Practice Address - Country:US
Practice Address - Phone:518-517-5979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29892101YA0400X
NY7068101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07905168Medicaid