Individual provider Active NPI

Esophia Johnson Clayborn, LCSW PIP

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1376762369
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0807-2041C Issued in AL
Practice address
201 Longwood Dr SW
Ste B
Huntsville, AL 35801-5243
Phone
(256) 536-9604
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 0807-2041C AL Primary

Addresses

Primary practice location

201 Longwood Dr SW
Ste B
Huntsville, AL 35801-5243

Mailing address

201 Longwood Dr SW
Ste B
Huntsville, AL 35801-5243
Phone (256) 536-9604

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0807-2041CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy/ Clinical Services LLC CurrentSince Jul 21, 2020 Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1376762369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LONGWOOD DR SW",
            "address_2": "STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015243",
            "telephone_number": "256-536-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LONGWOOD DR SW",
            "address_2": "STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015243",
            "telephone_number": "256-536-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORN",
        "first_name": "ESOPHIA",
        "middle_name": "JOHNSON",
        "credential": "LCSW PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0807-2041C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.