Individual provider Active NPI

Viola McCloud-Bevly, CSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1750486536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW11822 Issued in CA
Practice address
11301 Wilshire Blvd
BLDG 256,
Los Angeles, CA 90073
Phone
(310) 478-3711
Fax
(310) 268-4112
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW0000006426 TN
Clinical Social Worker 1041C0700X ASW11822 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
BLDG 256,
Los Angeles, CA 90073

Mailing address

6605 Green Valley Cir Unit 219
Culver City, CA 90230-8102
Phone (310) 478-3711

Other identifiers 2

IdentifierTypeStateIssuer
CSW0000006426OtherTNCERTIFIED MASTER OF SW
ASW11822OtherCAASSOCIATE CLINICAL SW

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
ASW11822CAMDClinical Social Worker
CSW0000006426TNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750486536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 GREEN VALLEY CIR UNIT 219",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308102",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "BLDG 256,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD-BEVLY",
        "first_name": "VIOLA",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CSW0000006426",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW11822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MASTER OF SW",
            "identifier": "CSW0000006426",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE CLINICAL SW",
            "identifier": "ASW11822",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.