| Doctor Name: | MR. THOMAS G MCLELLAN III |
| NPI Number: | 1487717336 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.S.W. |
| License Number: | SW012708L |
| Business Practice Address: | 615 E Mcmurray Rd Mcmurray, PA - 153173497 |
| Business Phone Number: | 7249423996 |
| Business Fax Number: | 7249422571 |
| Mailing Address: | 710 Tamarack Dr, IMPERIAL |
| State: | PA |
| Postal Code: | 151261155 |
| Phone Number: | 4123891642 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW012708L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |