Individual provider Active NPI

Cleyardis Melody McDonald-Amaker, MSW, CACIP

  • Clinical Social Worker
  • Sumter, SC
National Provider Identifier
1518450873
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000000 Issued in SC
Practice address
115 N Harvin St FL 3
Sumter, SC 29150-4956
Phone
(803) 775-6815
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0000000 SC
Clinical Social Worker 1041C0700X 000000 SC Primary

Addresses

Primary practice location

115 N Harvin St FL 3
Sumter, SC 29150-4956

Mailing address

115 N Harvin St FL 3
Sumter, SC 29150-4956
Phone (803) 775-6815

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

LicenseStateTypeSpecialty
0000000SCMDHome Health Agency
000000SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1518450873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N HARVIN ST FL 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504956",
            "telephone_number": "803-775-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N HARVIN ST FL 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504956",
            "telephone_number": "803-775-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD-AMAKER",
        "first_name": "CLEYARDIS",
        "middle_name": "MELODY",
        "name_prefix": "Mrs.",
        "credential": "MSW, CACIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.