Active NPI
Ralph Michael McMenemy, LCSW-C
- Clinical Social Worker
- Interlachen, FL
National Provider Identifier
1780923649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05070
- Practice address
- 1023 Old Gainesville Highway
Interlachen, FL 32148 - Phone
- (410) 299-9821
- NPI assigned
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05070 | MD | Primary |
Addresses
Primary practice location
1023 Old Gainesville Highway
Interlachen, FL 32148
Mailing address
1023 Old Gainesville Hwy
Interlachen, FL 32148-5435
Phone (410) 299-9821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901004302 | FL | Practitioner - Clinical Social Worker | 0547666331 | Practice locations: Interlachen, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Florida State University College of Medicine, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1023 Old Gainesville Hwy
Interlachen, FL 32148-5435
Phone (410) 299-9821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05070 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780923649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 OLD GAINESVILLE HWY",
"city": "INTERLACHEN",
"state": "FL",
"postal_code": "321485435",
"telephone_number": "410-299-9821",
"fax_number": "757-210-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 OLD GAINESVILLE HIGHWAY",
"city": "INTERLACHEN",
"state": "FL",
"postal_code": "32148",
"telephone_number": "410-299-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMENEMY",
"first_name": "RALPH",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2025-09-11",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Interlachen, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.