Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Deloise McCleoud

Individual provider Clinical Social Worker · NPI 1700124641

Charlene Deloise McCleoud is a Clinical Social Worker in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2013
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Practice location Address checks out

847 NE 19th Ave
Portland, OR 97232-2684
Phone: (503) 238-0769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4036 Se 114th Ave, Portland, OR 97266-2239 — (971) 393-6084

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L10510 (OR)

Record details

NPI number1700124641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2013
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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