Individual
FORREST JAMES MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Mailing address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CW014736
PA
1041C0700X
Clinical Social Worker
Primary
CW014736
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010159960003
—
PA
01
—
140178
VALUE OPTIONS
PA
01
—
817343
FIRST PRIORITY HEALTH
PA
01
—
Q19362
HEALTHAMERICA
PA
Enumeration date
04/03/2006
Last updated
06/17/2020
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