MR. MARILYN RUTH MCCLURE LCPC NPI 1568470532

NPI Information

NPI: 1568470532
Provider Name: MR. MARILYN RUTH MCCLURE, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
11315 PEMBROOKE MEDICAL CENTER
SUITE 112-A
WALDORF, MD
ZIP 20602
Phone: (301) 645-2233
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MR. Marilyn Ruth Mcclure, LCPC is a mental health counselor in Waldorf, MD. MR. Marilyn Ruth Mcclure, LCPC NPI is 1568470532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11315 PEMBROOKE MEDICAL CENTER
SUITE 112-A
WALDORF, MD
ZIP 20602
Phone: (301) 645-2233
Fax: (301) 645-3633

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC0866	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	298AS0	OTHER	MARSHALL ISLANDS	BLUECROSS BLUE SHIELD MD
2	J340 0001	OTHER	MARYLAND	BLUE CROSS BLUE SHIELD
3	413463	OTHER	MARYLAND	VALUE OPTIONS
4	333071	OTHER	MARYLAND	MHN
5	260971	OTHER	MARYLAND	COMPSYCH
6	4125532	OTHER	MARSHALL ISLANDS	MAMSI
7	7290615	OTHER	MARYLAND	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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