Active NPI
Alycia Clayton, LCSW
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1104331859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904010190
- Practice address
- 105 Oronoco St Ste 305
Alexandria, VA 22314-2089 - Phone
- (757) 319-3250
- NPI assigned
- Dec 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904010190 | VA | Primary |
Addresses
Primary practice location
105 Oronoco St Ste 305
Alexandria, VA 22314-2089
Mailing address
316 Lismoe Drive
Fort Washington, MD 20744
Phone (757) 319-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904010190 | Other | VA | VA BOARD OF SOCIAL WORKLICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904010190 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1104331859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 LISMOE DRIVE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "757-319-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ORONOCO ST STE 305",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142089",
"telephone_number": "757-319-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "ALYCIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904010190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA BOARD OF SOCIAL WORKLICENSE NUMBER",
"identifier": "0904010190",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.