Individual provider Active NPI

Mark D Clayton, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1376611384
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
881317683501 Issued in UT
Practice address
166 N 300 W
Ste 2
Saint George, UT 84770-2770
Phone
(435) 673-4870
Fax
(435) 216-9403
NPI assigned
Nov 30, 2006
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 881317683501 UT Primary

Addresses

Primary practice location

166 N 300 W
Ste 2
Saint George, UT 84770-2770

Mailing address

PO Box 3219
Saint George, UT 84771-3219
Phone (435) 673-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000353 UT Practitioner - Clinical Social Worker 2163681040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

166 N 300
Suite 2
St George, UT 84770-2770
Phone (435) 673-4870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
881317683501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Clayton LCSW PC Clinical CurrentSince Dec 1, 2011 Accepting new patients

Locations

166 N 300 W
Ste 2
St George, UT 84770
Phone (435) 673-4870

750 Ridgeview Dr
Ste 103
St George, UT 84770
Phone (435) 668-6398

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1376611384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3219",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847713219",
            "telephone_number": "435-673-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 N 300 W",
            "address_2": "STE 2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702770",
            "telephone_number": "435-673-4870",
            "fax_number": "435-216-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "881317683501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.