Individual
SARA L MCCLELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2006 BLAINE ST, CALDWELL, ID 83605-4343
(208) 454-3430
(208) 453-6493
Mailing address
2006 BLAINE ST, CALDWELL, ID 83605-4343
(208) 454-3430
(888) 972-1962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
35506
ID
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126556547
—
ID
05
—
1417398140
—
ID
01
—
1710427513
TYPE II NPI
—
Enumeration date
07/10/2013
Last updated
11/04/2025
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