Active NPI
Alfred James McCloud, LCSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1386073765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW33376
- Practice address
- 1465 E 103Rd St
Los Angeles, CA 90002-3306 - Phone
- (323) 564-7911
- NPI assigned
- Nov 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104155 | CA | |
| Social Worker | 104100000X | ASW33376 | CA | Primary |
Addresses
Primary practice location
1465 E 103Rd St
Los Angeles, CA 90002-3306
Mailing address
1465 E 103Rd St
Los Angeles, CA 90002-3306
Phone (310) 720-1548
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 |
|---|---|---|---|
| ASW33376 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1386073765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 E 103RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023306",
"telephone_number": "310-720-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 E 103RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023306",
"telephone_number": "323-564-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "ALFRED",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-05",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "104155",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW33376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.