Melinda E Clemens McCloud, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096870 Issued in NY

Practice address

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317

Phone

(631) 245-7505

NPI assigned

Apr 28, 2008

Last updated

Feb 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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

Locations

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.

• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment NPD
• Long Island Lcsws PLLC

  • Community/Behavioral Health Agency
  • Jericho, NY
  • NPI 1992414940
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1720253024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 ABERDEEN RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067728",
            "telephone_number": "516-659-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JERICHO TPKE STE 103",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531317",
            "telephone_number": "631-245-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS MCCLOUD",
        "first_name": "MELINDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07200073960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byeong C Choi, P.C
• Grace Cholakian, DMD
• Chong Acupuncture P.C.
• Zerin A Chowdhury, MA, MHC-LP
• Stephanie Citerman
• Clinical Sleep Diagnostic Services
• Cloudlake Dental PLLC
• Cloudlake Dermatology PLLC
• June Alice Cohen, MA LMHC
• Tami Lynn Cohen

• Clinical Social Worker in Jericho, NY
• Providers in Jericho, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.