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BREANNA MACLELLAN LCSW
NPI 1063362804
Social Worker - Clinical in Wilmington, NC

Active since January 31, 2026PECOS Enrolled
103 BAY NETTLE LN APT 304, WILMINGTON, NC 28411(704) 989-8720 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breanna Maclellan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA MACLELLAN LCSW (NPI 1063362804) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (C013211) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063362804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA MACLELLANCredential: LCSW
Location Address103 BAY NETTLE LN APT 304Wilmington, NC 28411-0039
Mailing Address103 Bay Nettle Ln Apt 304Wilmington, NC 28411-0039 · (704) 989-8720
Phone(704) 989-8720
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 31, 2026
NPPES CertifiedJanuary 31, 2026
✔ NPI 1063362804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C013211
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
103 BAY NETTLE LN APT 304, Wilmington, NC 28411
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Maclellan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820563596
PECOS Enrollment IDI20260409003231
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Maclellan's NPI number?

The NPI number for Breanna Maclellan is 1063362804. It was assigned to this individual provider in the NPPES registry on January 31, 2026.

Where is Breanna Maclellan located?

Breanna Maclellan practices at 103 Bay Nettle Ln Apt 304, Wilmington, NC 28411. The listed phone number is (704) 989-8720.

What is Breanna Maclellan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Breanna Maclellan enrolled in Medicare?

Yes. Breanna Maclellan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Maclellan was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.