Mclellan, Cheryl
Mclellan, Cheryl is an sole proprietor health care provider with primary practice located at 3501 Moon St Ne Madison Ms, Albuquerque NM 87111-4619. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Mclellan, Cheryl can be contacted via phone (505) 299-4735.Contact Information
Primary practice address
3501 Moon St Ne Madison Ms
Albuquerque NM 87111-4619
Phone: (505) 299-4735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M 2619 | New Mexico |
| Behavioral Health & Social Service Providers / School | 1041S0200X | M 2619 | New Mexico |
Profile Details
| NPI number | 1376671933 |
|---|---|
| LBN Legal business name | Mclellan, Cheryl |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376671933 | NPPES |
| New Mexico | MEDICAID | 83127089 |
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