Active NPI
Trudy McCloud, LCSW
- Clinical Social Worker
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 55 S 5TH St
Sierra Vista, AZ 85635-1857 - Phone
- (520) 452-9784
- NPI assigned
- Mar 30, 2023
- Last updated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
55 S 5TH St
Sierra Vista, AZ 85635-1857
Mailing address
7750 E Broadway Blvd Ste A200
Tucson, AZ 85710-3901
Phone (520) 327-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, KS, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current | Accepting new patients | |
| Sondermind, P.a. | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Easter Seals Blake Foundation | Past | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
7101 E 21st St N
Wichita, KS 67206
Phone (316) 682-8909
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Wichita, KS
- NPI 1710647581
-
- Community/Behavioral Health Agency
- Sierra Vista, AZ
- NPI 1720232168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1851096994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7750 E BROADWAY BLVD STE A200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857103901",
"telephone_number": "520-327-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S 5TH ST",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351857",
"telephone_number": "520-452-9784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "TRUDY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.