NPIMap

Organization Active NPI

McCloud Acosta Clinical Services PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1467857110
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002962 Issued in NC
Legal business name
MCCLOUD ACOSTA CLINICAL SERVICES PLLC
Practice address
3719 Latrobe Dr
Suite 820
Charlotte, NC 28211-4861
Phone
(704) 286-6227
NPI assigned
Oct 23, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Caroline B McCloud, LCSWNPI 1346336153
Title
Co-Owner
Phone
(704) 998-1760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NC
Professional Counselor 101YP2500X 7687 NC
Clinical Social Worker 1041C0700X C002962 NC Primary

Addresses

Primary practice location

3719 Latrobe Dr
Suite 820
Charlotte, NC 28211-4861

Mailing address

3719 Latrobe Dr
Suite 820
Charlotte, NC 28211-4861
Phone (704) 286-6227

Other identifiers 1

IdentifierTypeStateIssuer
1346336153OtherNCPLLC OWNER NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1467857110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR",
            "address_2": "SUITE 820",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114861",
            "telephone_number": "704-286-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR",
            "address_2": "SUITE 820",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114861",
            "telephone_number": "704-286-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOUD ACOSTA CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-998-1760",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7687",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLLC OWNER NPI",
            "identifier": "1346336153",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.