Active NPI
Nancy Cloud, LCSW
- Clinical Social Worker
- Port Orchard, WA
National Provider Identifier
1144225004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS16056
- Practice address
- 15570 Diaz PL SW
Port Orchard, WA 98367-6703 - Phone
- (253) 514-3005
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS16056 | CA | Primary |
Addresses
Primary practice location
15570 Diaz PL SW
Port Orchard, WA 98367-6703
Mailing address
PO Box 159
Burley, WA 98322-0159
Phone (253) 514-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS16056 | Other | CA | LICENSED CLINICAL SW |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16056 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1144225004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "BURLEY",
"state": "WA",
"postal_code": "983220159",
"telephone_number": "253-514-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15570 DIAZ PL SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983676703",
"telephone_number": "253-514-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUD",
"first_name": "NANCY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS16056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SW",
"identifier": "LCS16056",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.