Active NPI
Molly Elizabeth McClusky
- Clinical Social Worker
- Roanoke, VA
National Provider Identifier
1306386123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090416396
- Practice address
- 7211 Cloverdale Rd
Roanoke, VA 24019-8221 - Phone
- (540) 966-5808
- NPI assigned
- Feb 27, 2017
- 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 | 090416396 | VA | Primary |
Addresses
Primary practice location
7211 Cloverdale Rd
Roanoke, VA 24019-8221
Mailing address
7211 Cloverdale Rd
Roanoke, VA 24019-8221
Phone (540) 966-5808
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 |
|---|---|---|---|
| 090416396 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Family Wellness | Past | Accepting new patients | |
| Mainstream Mental Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Roanoke, VA
- NPI 1700150166
-
- Community/Behavioral Health Agency
- Little Falls, NJ
- NPI 1356700082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1306386123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 CLOVERDALE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240198221",
"telephone_number": "540-966-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 CLOVERDALE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240198221",
"telephone_number": "540-966-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUSKY",
"first_name": "MOLLY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "090416396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.