Holli Fawcett Clayton, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113389 Issued in TX

Practice address

5757 Woodway Dr Ste 285
Houston, TX 77057-1533

Phone

(713) 568-4219

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ethos Prism, LLC

  dba Ethos Wellness

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1932761897
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1205677895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 RICE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR STE 285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571533",
            "telephone_number": "713-568-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "HOLLI",
        "middle_name": "FAWCETT",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "113389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Kuwait Clayton
• Bryant Keith Clayton Jr., PSYD
• Charles T Clayton, M.D.
• Corliss Marie Clayton, RN
• Dominique Clayton
• Holly Lauren Clayton, PA-C
• Tamela Clayton
• Terri Clayton
• Valarie Nicole Clayton
• Wesley Anthony Clayton

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.