Individual provider Active NPI

Clayton David Sankey, LICSW

  • Clinical Social Worker
  • North Saint Paul, MN
National Provider Identifier
1003863531
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00097 Issued in MN
Practice address
2510 7TH Ave E
Suite #101
North Saint Paul, MN 55109-3033
Phone
(651) 770-0355
Fax
(651) 770-0529
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00097 MN Primary

Addresses

Primary practice location

2510 7TH Ave E
Suite #101
North Saint Paul, MN 55109-3033

Mailing address

6484 Kings Dr
Oakdale, MN 55128-2523
Phone (651) 770-0355

Other identifiers 1

IdentifierTypeStateIssuer
00097OtherMNSOCIAL WORK LICENSE NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000728 MN Practitioner - Clinical Social Worker 9032172879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Counseling, P.a.Group PAC ID 6608048541, 4 clinicians

Practice addresses (Care Compare)

2127 County Rd D E
Suite A100
Maplewood, MN 55109-5350
Phone (651) 592-1592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00097MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling, P.a. CurrentSince Jul 1, 2023 Accepting new patients
River City Mental Health Clinic, P.a. Clinical Past Accepting new patients

Locations

2127 County Road D E
Ste A100
Saint Paul, MN 55109
Phone (651) 592-1592

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003863531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6484 KINGS DR",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551282523",
            "telephone_number": "651-770-0355",
            "fax_number": "651-770-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 7TH AVE E",
            "address_2": "SUITE #101",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551093033",
            "telephone_number": "651-770-0355",
            "fax_number": "651-770-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKEY",
        "first_name": "CLAYTON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "00097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE NUMBE",
            "identifier": "00097",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.