Clay Songow Smith I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

060757 Issued in NY

Practice address

1O8 Forest Rd
Southbury, CT 06488-2409

Phone

(646) 908-9562

NPI assigned

Jun 12, 2021

Last updated

Jun 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1407424815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1O8 FOREST RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882409",
            "telephone_number": "646-908-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1O8 FOREST RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882409",
            "telephone_number": "646-908-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLAY",
        "middle_name": "SONGOW",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "060757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1O8 FOREST RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064882409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1O8 FOREST RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064882409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Janine Silvia, LCSW
• Manimala Sinha
• Erika N Skaret, APRN
• Smile Spot LLC
• Angela Victoria Smith, MS, RD, CSN, LDN
• Diane Ellen Smith, LMFT
• Elizabeth A Snyder, LMFT
• Victoria Ann Sosnoski
• Southbury Adolescent and Young Adult Counseling Center
• Southbury Ambulance Association Inc

• Counselor in Southbury, CT
• Providers in Southbury, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.