Active NPI
Gayle Deanne Clay, L.C.S.W.
- Clinical Social Worker
- Carpinteria, CA
National Provider Identifier
1023113289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS6844
- Practice address
- 847 Concha Loma Dr
Carpinteria, CA 93013-2539 - Phone
- (805) 684-4976
- NPI assigned
- Sep 13, 2006
- Last updated
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC8165 | CA | |
| Clinical Social Worker | 1041C0700X | LCS6844 | CA | Primary |
Addresses
Primary practice location
847 Concha Loma Dr
Carpinteria, CA 93013-2539
Mailing address
PO Box 991
Carpinteria, CA 93014-0991
Phone (805) 684-5504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC8165 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1023113289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 991",
"city": "CARPINTERIA",
"state": "CA",
"postal_code": "930140991",
"telephone_number": "805-684-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 CONCHA LOMA DR",
"city": "CARPINTERIA",
"state": "CA",
"postal_code": "930132539",
"telephone_number": "805-684-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "GAYLE",
"middle_name": "DEANNE",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC8165",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS6844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carpinteria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.