Individual provider Active NPI

Lloyd Ezekiel Cloud, LCSW

  • Clinical Social Worker
  • Yorktown, VA
National Provider Identifier
1215028782
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008979 Issued in VA
Practice address
5731 George Washington Mem Hwy Ste 4a
Yorktown, VA 23692-2685
Phone
(860) 301-1664
Fax
(757) 890-6204
NPI assigned
Sep 27, 2006
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008979 VA Primary

Addresses

Primary practice location

5731 George Washington Mem Hwy Ste 4a
Yorktown, VA 23692-2685

Mailing address

5731 George Washington Mem Hwy Ste 4a
Yorktown, VA 23692-2685
Phone (860) 301-1664

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

LicenseStateTypeSpecialty
0904008979VAMDClinical Social Worker
005725CTMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1215028782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 GEORGE WASHINGTON MEM HWY STE 4A",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922685",
            "telephone_number": "860-301-1664",
            "fax_number": "757-890-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 GEORGE WASHINGTON MEM HWY STE 4A",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922685",
            "telephone_number": "860-301-1664",
            "fax_number": "757-890-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "LLOYD",
        "middle_name": "EZEKIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.