Active NPI
Mary Magaline McNeloms, LCSW
- Clinical Social Worker
- Gainesville, FL
National Provider Identifier
1073849691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW6731
- Practice address
- 1601 S.W. Archer Road
Gainesville, FL 32608-1197 - Phone
- (352) 548-1800
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW6731 | FL | Primary |
Addresses
Primary practice location
1601 S.W. Archer Road
Gainesville, FL 32608-1197
Mailing address
3089 NE 42ND PL
Ocala, FL 34479-8883
Phone (352) 629-4676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW6731 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1073849691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3089 NE 42ND PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344798883",
"telephone_number": "352-629-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S.W. ARCHER ROAD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081197",
"telephone_number": "352-548-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNELOMS",
"first_name": "MARY",
"middle_name": "MAGALINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW6731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.