Shelley Renee Clayton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100191 Issued in IA

Practice address

400 W Glenn Miller Dr
Clarinda, IA 51632-2963

Phone

(712) 542-8354

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shelley.clayton.p1@direct.cfmkv.nextgenshare.com

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.

• Clarinda Regional Health Center

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1033735352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W GLENN MILLER DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322963",
            "telephone_number": "712-542-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E. Normal Street",
            "address_2": "McKinney Building",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "660-785-4014",
            "fax_number": "660-785-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Essie Davison Dr",
            "address_purpose": "LOCATION",
            "city": "Clarinda",
            "state": "IA",
            "postal_code": "516322915",
            "country_code": "US",
            "telephone_number": "712-542-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SHELLEY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022034073",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507544203",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sclayton@clarindahealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "400 W Glenn Miller Dr",
            "city": "Clarinda",
            "state": "IA",
            "country_code": "US",
            "postal_code": "516322963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clarinda Regional Health Center ER
• Clarinda Youth Corporation
• Clarinda Youth Corporation
• Clarinda Youth Corporation
• Kala Clark, PMHNP
• Robert Willard Clemons Jr., MD
• Jessica Coburn
• Ann Marie Davison, R.N.
• Lauren Rae Davison, ARNP
• Jessica L Divine, LMSW

• Clinical Social Worker in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.