Active NPI
Kristine Clayton, LSW
- Clinical Social Worker
- Antioch, IL
National Provider Identifier
1235949397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.029344
- Practice address
- 311 W Depot St Ste M
Antioch, IL 60002-1500 - Phone
- (331) 725-1190
- NPI assigned
- Jan 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.107213 | IL | |
| Clinical Social Worker | 1041C0700X | 149.029344 | IL | Primary |
Addresses
Primary practice location
311 W Depot St Ste M
Antioch, IL 60002-1500
Mailing address
311 W Depot St Ste M
Antioch, IL 60002-1500
Phone (331) 725-1190
Other names 1
- Kristine Perry
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 |
|---|---|---|---|
| 150.107213 | IL | MD | Social Worker |
| 149.029344 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Counseling | Social Worker | Current | Accepting new patients |
Locations
311 W Depot St
Ste M
Antioch, IL 60002
Phone (331) 725-1190
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1235949397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W DEPOT ST STE M",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021500",
"telephone_number": "331-725-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W DEPOT ST STE M",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021500",
"telephone_number": "331-725-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "KRISTINE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.107213",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.029344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "PERRY",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.