NPIMap

Organization Active NPI

Clay Wilson and Associates, Inc

Doing business as The Cognitive Connection

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1114302320
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009212 Issued in NC
Legal business name
CLAY WILSON AND ASSOCIATES, INC
Doing business as
The Cognitive Connection
Practice address
1109 2ND Ave SW
Hickory, NC 28602-2545
Phone
(828) 327-6026
Fax
(828) 327-8096
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Judy Lee Bentley, D.O.
Title
Director of Operations
Phone
(828) 327-6026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P009212 NC Primary

Addresses

Primary practice location

1109 2ND Ave SW
Hickory, NC 28602-2545

Mailing address

1109 2ND Ave SW
Hickory, NC 28602-2545
Phone (828) 327-6026

Other identifiers 1

IdentifierTypeStateIssuer
P009212OtherNCLCSW-A LICENSURE

Other names 1

  • THE COGNITIVE CONNECTION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clay Wilson Associates9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1114302320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 2ND AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022545",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 2ND AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022545",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY WILSON AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "828-327-6026",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-A LICENSURE",
            "identifier": "P009212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COGNITIVE CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.