Brian David McClellan, SSW
Social Worker in Logan, UT. Individual provider (NPI-1).
NPI number1649100769
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1649100769
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian David McClellan
- Credential
- SSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2026
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 14242051-3503 | UT | Yes |
Practice location
90 E 200 NLogan, UT 84321-4034
Phone 435-752-0750
Mailing address
90 E 200 NLogan, UT 84321-4034
Phone 435-752-0750
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 71 Social Worker providers in Logan · All 1,815 providers in Logan
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