Healthcare Provider Details

I. General information

NPI: 1497686521
Provider Name (Legal Business Name): CLOUD CARE LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 23RD AVE
ASTORIA NY
11105-2775
US

IV. Provider business mailing address

2810 23RD AVE
ASTORIA NY
11105-2775
US

V. Phone/Fax

Practice location:
  • Phone: 740-661-1102
  • Fax: 740-661-1102
Mailing address:
  • Phone: 740-661-1102
  • Fax: 740-661-1102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VALERIE GRAF
Title or Position: LCSW
Credential: LCSW
Phone: 740-661-1102