Provider Demographics
NPI:1881362804
Name:MCLEAN, KAREN (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26880 NELSON HL
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5231
Mailing Address - Country:US
Mailing Address - Phone:602-291-1117
Mailing Address - Fax:
Practice Address - Street 1:26880 NELSON HL
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5231
Practice Address - Country:US
Practice Address - Phone:602-291-1117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical