Melba McCluna Tregellas White, LCSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000953 Issued in VA

Practice address

205 Hampton Hwy
Yorktown, VA 23693

Phone

(757) 865-1843

Fax

(757) 865-7485

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By 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 2

Other names 1

• Mrs. Melba McCluna Woodward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902816069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGELLAS WHITE",
        "first_name": "MELBA",
        "middle_name": "MCCLUNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913021",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "073630",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELBA",
            "last_name": "WOODWARD",
            "middle_name": "MCCLUNA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Keona Turner
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• Two Rivers Family and Cosmetic Dentistry

• Clinical Social Worker in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Clinical Social Worker in Virginia

• 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.