MEDICARE: CLOUD CARE LCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1497686521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOUD CARE LCSW, PLLC

Provider Business Mailing Address
First Line	:	2810 23RD AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11105-2775
Country	:	US
Telephone Number	:	740-661-1102
Fax Number	:	740-661-1102

Provider Business Practice Location Address
First Line	:	2810 23RD AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11105-2775
Country	:	US
Telephone Number	:	740-661-1102
Fax Number	:	740-661-1102

Authorized Official
Title or Position	:	LCSW
Name	:	VALERIE GRAF
Credential	:	LCSW
Telephone Number	:	740-661-1102

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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