Clean and Sober Streets

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

102500R008 Issued in DC

Legal business name

CLEAN AND SOBER STREETS

Practice address

425 2ND St NW
2 North
Washington, DC 20001-2003

Phone

(202) 783-7343

Fax

(202) 628-1183

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Henry Primes Pierce IIINPI 1871043026

Title

Executive Director

Phone

(202) 236-4362

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Pierce III

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1871043026
  NPD Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1427228105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77281",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200138281",
            "telephone_number": "202-236-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 2ND ST NW",
            "address_2": "2 NORTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012003",
            "telephone_number": "202-783-7343",
            "fax_number": "202-628-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN AND SOBER STREETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "PRIMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-236-4362",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "DC",
            "license": "102500R008",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC CERTIFICATION",
            "identifier": "111215-263",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delores M Clayton
• Ileane Clayton
• Paulette Clayton, CNA
• Sasha Clayton, LCSW
• Risa Claytor, MD
• Clearmind Holistic Psychiatry PLLC
• Clearpath Medical LLC
• Clearvista Eyecare PLLC
• Anaya Rayelle Cleckley
• Eric Cleckley

• Substance Use Disorder Rehabilitation Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.