Shadese Lisa Griffith-mcclellan, LCSW-A,MSW is a
Social Worker - Clinical based in Mooresville, North Carolina. Shadese Lisa Griffith-mcclellan is licensed to practice in North Carolina (license number P015291) and her current practice location is
125 Overhill Dr Ste 105, Mooresville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(980) 430-9205.
NPI number for Shadese Lisa Griffith-mcclellan is 1104163625 and her current mailing address is 1033 Phillips Ln, Statesville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104163625.
Healthcare Provider's Profile
Full Name | Shadese Lisa Griffith-mcclellan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 125 Overhill Dr Ste 105, Mooresville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104163625
- Provider Enumeration Date: 01/04/2013
- Last Update Date: 02/01/2021
Medical Identifiers
Medical identifiers for Shadese Lisa Griffith-mcclellan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104163625 | NPI | - | NPPES |
1104163625 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-A -21455 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P015291 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shadese Lisa Griffith-mcclellan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shadese Lisa Griffith-mcclellan, LCSW-A,MSW 1033 Phillips Ln, Statesville, NC 28625-4747 Ph: (646) 938-9097 | Shadese Lisa Griffith-mcclellan, LCSW-A,MSW 125 Overhill Dr Ste 105, Mooresville, NC 28117-8232 Ph: (980) 430-9205 |
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