ELIZABETH ROSE BLACK MCCLELLAN
NPI 1124564679
Social Worker - Clinical in Gaithersburg, MD

Active since January 09, 2017
35 N SUMMIT AVE, GAITHERSBURG, MD 20877(240) 740-4900 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2020, Aug 3, 2017, Jan 9, 2017 (3 updates tracked since 2017).

About Elizabeth Rose Black Mcclellan NPPES

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

ELIZABETH ROSE BLACK MCCLELLAN (NPI 1124564679) is an individual clinical provider in Gaithersburg, Maryland, licensed in Maryland (26128) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1124564679
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH ROSE BLACK MCCLELLAN
Location Address35 N SUMMIT AVEGaithersburg, MD 20877-2921
Mailing Address620 E Diamond Ave Ste HGaithersburg, MD 20877-5328
Sole ProprietorNo
Enumeration DateJanuary 9, 2017
Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1124564679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 26128
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
35 N SUMMIT AVE, Gaithersburg, MD 20877

Other Names 1

Former Name (1)Elizabeth Rose Black

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
35 N SUMMIT AVE
GAITHERSBURG, MD 20877
Speech-Language Pathologist
35 N SUMMIT AVE
GAITHERSBURG, MD 20877
Speech-Language Pathologist
35 N SUMMIT AVE
GAITHERSBURG, MD 20877
Nurse Practitioner (Pediatrics)
35 N SUMMIT AVE
GAITHERSBURG, MD 20877
Speech-Language Pathologist
35 N SUMMIT AVE
GAITHERSBURG, MD 20877
Clinic/Center (Dental)
35 N SUMMIT AVE
GAITHERSBURG, MD 20877

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 Elizabeth Black Mcclellan's NPI number?

The NPI number for Elizabeth Black Mcclellan is 1124564679. It was assigned to this individual provider in the NPPES registry on January 9, 2017. The provider is also known as Elizabeth Rose Black.

Where is Elizabeth Black Mcclellan located?

Elizabeth Black Mcclellan practices at 35 N Summit Ave, Gaithersburg, MD 20877. The listed phone number is (240) 740-4900.

What is Elizabeth Black Mcclellan's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Black Mcclellan was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.