MR. PAUL RICHARD JR. MCCLUNG (LCSW) – Clinical Social Worker, NPI 1104223718

MR. PAUL RICHARD JR. MCCLUNG (LCSW) is a healthcare provider. based in London, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 1817 (KY). The NPI Number for MR. PAUL RICHARD JR. MCCLUNG (LCSW) is 1104223718

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL RICHARD JR. MCCLUNG (LCSW)
NPI
1104223718
Phone
Not provided
Address
PO BOX 936
Enumeration Date
25 November 2014
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593136300
Graduation Year
1996 (30 years ago)
PAC ID
6406170703
Group Practice PAC ID
8820993702
Professional Enrollment ID
I20150114002307
Address ID
KY405131140LE3581XRDXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for MR. PAUL RICHARD JR. MCCLUNG (LCSW)

  • PO BOX 936

    LONDON, KY 407430936

    Phone:

    Fax: (606) 330-7825

    Type: Mailing

  • 3581 HARRODSBURG RD STE 350

    LEXINGTON, KY 405131140

    Phone: (859) 313-6333

    Fax: (859) 313-3484

    Type: Location

  • 211 FOUNTAIN CT STE 120

    LEXINGTON, KY 405092695

    Phone: (859) 313-6333

    Fax: (859) 977-2280

    Type: Location

  • 191 Doctors Dr

    Frankfort, KY 406014101

    Phone: (502) 223-2182

    Fax: (502) 223-3338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150114002307IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10817$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 40743)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820993702View full group profile
NameSpecialtyState
Orthopedic SurgeryKY
General SurgeryKY
-KY
-KY
Nurse PractitionerKY
Interventional Cardiology, Cardiovascular Disease (Cardiology)KY
N E U R O L O G YOH
-KY
Surgical OncologyOH
Internal Medicine, Orthopedic SurgeryNC

Reviews

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Frequently asked questions

What unique ID ties claims to MR. PAUL RICHARD JR. MCCLUNG (LCSW)?
NPI 1104223718 is assigned to MR. PAUL RICHARD JR. MCCLUNG (LCSW) under the national enumeration system.
Is MR. PAUL RICHARD JR. MCCLUNG (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. PAUL RICHARD JR. MCCLUNG (LCSW) work in?
You can think of MR. PAUL RICHARD JR. MCCLUNG (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MR. PAUL RICHARD JR. MCCLUNG (LCSW)?
We surface London, Kentucky for MR. PAUL RICHARD JR. MCCLUNG (LCSW) based on available NPPES addresses.
What if London, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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