Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breanna Maclellan, LCSW

Individual provider Clinical Social Worker · NPI 1063362804

Breanna Maclellan, LCSW is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

103 Bay Nettle Ln Apt 304
Wilmington, NC 28411-0039
Phone: (704) 989-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C013211 (NC)

Record details

NPI number1063362804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2026
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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