Clayton Edward Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3046C Issued in AR

Practice address

315 W 6TH St
Mountain Home, AR 72653

Phone

(870) 425-8642

Fax

(870) 425-8652

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1073647236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 CAPITOL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532001",
            "telephone_number": "870-425-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-8642",
            "fax_number": "870-425-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CLAYTON",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3046C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160781526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamatha Alden, QBHP
• Janet Alvarez Alexander
• Lane Ray Alexander, MS, ATC
• All Together Home Care. LLC
• Alexa Allen, MHPP
• Jeanne M Allen
• Kassie Allen, LMSW
• Susan L Allen, M.A./CCC-SLP
• Alternative Opportunities
• Alternative Oppurtunities

• Clinical Social Worker in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Clinical Social Worker in Arkansas

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