Individual provider Active NPI

Michael A Valdes, L.C.S.W.

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1841544178
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5691 Issued in TN
Practice address
560 Colonial Rd Ste 201
Memphis, TN 38117-4097
Phone
(901) 930-7397
NPI assigned
Nov 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5691 TN Primary

Addresses

Primary practice location

560 Colonial Rd Ste 201
Memphis, TN 38117-4097

Mailing address

4259 Westover Ave
Memphis, TN 38108-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20200901002574 TN Practitioner - Clinical Social Worker 2961829254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5691TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
You Can Sit With US Clinical PastSince Jun 29, 2025 Accepting new patients
Forward Counseling, PLC Clinical PastSince Jan 15, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.valdes.1@30520.direct.athenahealth.com
  • Direct secure messaging: michaelvaldes@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1841544178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 WESTOVER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381083614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174097",
            "telephone_number": "901-930-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.