Individual provider Active NPI

Jessica Rose Clayton

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1518598499
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33069 Issued in MN
Practice address
2365 McKnight Rd N
Saint Paul, MN 55109-2238
Phone
(651) 760-3236
Fax
(651) 222-6025
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 33069 MN Primary

Addresses

Primary practice location

2365 McKnight Rd N
Saint Paul, MN 55109-2238

Mailing address

2365 McKnight Rd N
Saint Paul, MN 55109-2238
Phone (651) 760-3236

Other identifiers 1

IdentifierTypeStateIssuer
1285996520MedicaidMN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phia T Xiong & Jeff D Spencer Foundation CurrentSince May 1, 2022 Accepting new patients

Locations

2365 McKnight Rd N
Saint Paul, MN 55109
Phone (651) 370-2375

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1518598499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 MCKNIGHT RD N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551092238",
            "telephone_number": "651-760-3236",
            "fax_number": "651-222-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 MCKNIGHT RD N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551092238",
            "telephone_number": "651-760-3236",
            "fax_number": "651-222-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285996520",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.