Crystal Venice Mcleod, LCSW - Clinical Social Worker in Holloman Afb, NM

Crystal Venice Mcleod, LCSW is a Social Worker - Clinical based in Holloman Afb, New Mexico. Crystal Venice Mcleod is licensed to practice in North Carolina (license number P003475) and her current practice location is 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, New Mexico. She can be reached at her office (for appointments etc.) via phone at (575) 572-7091.

NPI number for Crystal Venice Mcleod is 1609949742 and her current mailing address is 49th Medical Group/sgow, 280 First Street, Bldg 23, Holloman Afb, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609949742.

Contact Information

Crystal Venice Mcleod, LCSW
49th Medical Group/sgopf, 280 First Street, Bldg 23,
Holloman Afb, NM 88330-8273
(575) 572-7091
(575) 572-2259



Healthcare Provider's Profile

Full NameCrystal Venice Mcleod
GenderFemale
SpecialitySocial Worker - Clinical
Location49th Medical Group/sgopf, Holloman Afb, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609949742
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 04/09/2018

Medical Identifiers

Medical identifiers for Crystal Venice Mcleod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609949742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P003475 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Venice Mcleod is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Venice Mcleod, LCSW
49th Medical Group/sgow, 280 First Street, Bldg 23,
Holloman Afb, NM 88330-8273

Ph: (575) 572-7091
Crystal Venice Mcleod, LCSW
49th Medical Group/sgopf, 280 First Street, Bldg 23,
Holloman Afb, NM 88330-8273

Ph: (575) 572-7091

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› Verified 7 days ago


Social Worker in Holloman Afb, NM

Mrs. Cathleen Adiva Mauricette, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330
Phone: 575-572-5676    
Amber D Clayton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 280 1st St # St23, Holloman Afb, NM 88330
Phone: 575-572-5676    
Heidi Fenton, MA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330
Phone: 575-572-2778    
Angelita Baker, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330
Phone: 575-572-5676    Fax: 575-572-2259
Mrs. Derandoria Ann Young, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 280 1st St, Bldg 17, Holloman Afb, NM 88330
Phone: 575-572-7061    
Ms. Virginia Marie Mckinley, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 49 Mdos/sgoh, 200 First Street, Holloman Afb, NM 88330
Phone: 505-572-5676    Fax: 505-572-2126

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