NPIMap

Organization Active NPI

Clayton D. Sankey Licsw, LLC

  • Clinical Social Worker
  • Maplewood, MN
National Provider Identifier
1023097185
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00097 Issued in MN
Legal business name
CLAYTON D. SANKEY LICSW, LLC
Practice address
2127 County Road D E Ste A100
Maplewood, MN 55109-5350
Phone
(651) 770-0355
Fax
(651) 770-0529
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Mr. Clayton D Sankey, MSW
Title
Clinical Social Worker
Phone
(651) 770-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 00097 MN Primary

Addresses

Primary practice location

2127 County Road D E Ste A100
Maplewood, MN 55109-5350

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
454048400MedicaidMN
00097OtherMNLICSW LICENSE #

National Provider Directory

National Provider Directory

Locations

2510 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 770-0355

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1023097185",
    "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": "651-429-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095350",
            "telephone_number": "651-770-0355",
            "fax_number": "651-770-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON D. SANKEY LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "SANKEY",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "651-770-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "00097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454048400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE #",
            "identifier": "00097",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.