Keshawn Adell McCleod, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005958 Issued in NC

Practice address

1100 Logger CT
Suite F100
Raleigh, NC 27609-8525

Phone

(252) 325-5189

Fax

(919) 908-9506

NPI assigned

Feb 15, 2008

Last updated

Nov 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McCleod & Associates PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1649796327
  NPD (past) Authorized official

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1487822060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91182",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276751182",
            "telephone_number": "252-325-5189",
            "fax_number": "919-908-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT",
            "address_2": "SUITE F100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "252-325-5189",
            "fax_number": "919-908-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEOD",
        "first_name": "KESHAWN",
        "middle_name": "ADELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106857",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny McClendon, PT
• Kayla Sharnay McClendon
• Mary Kathryn McClenny
• Isabella McClentic, BS
• McCleod & Associates PLLC
• Hannah Michelle McCloskey, MD
• Haylie Ray McClung, PA-C
• Duane Yongue McClure, LPC
• Susan Young McClure, PH.D.
• Adam McCluskey, PT, DPT

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.