Individual provider Active NPI

Harry Tyrell Clayton, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1528608361
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011438 Issued in VA
Practice address
7107 Koufax CT
North Chesterfield, VA 23234-8217
Phone
(804) 243-9150
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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 0904011438 VA Primary

Addresses

Primary practice location

7107 Koufax CT
North Chesterfield, VA 23234-8217

Mailing address

9520 Iron Bridge Rd Ste 31
Chesterfield, VA 23832-6455
Phone (804) 243-9150

Other practice location 1

9520 Iron Bridge Rd Ste 31
Chesterfield, VA 23832-6455
Phone (804) 243-9150

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

State licenses

LicenseStateTypeSpecialty
0904011438VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Wellness Group, LLC Clinical CurrentSince Aug 10, 2025 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, 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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1528608361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 IRON BRIDGE RD STE 31",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326455",
            "telephone_number": "804-243-9150",
            "fax_number": "804-715-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 KOUFAX CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232348217",
            "telephone_number": "804-243-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 Iron Bridge Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238326455",
            "country_code": "US",
            "telephone_number": "804-243-9150",
            "fax_number": "804-715-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "HARRY",
        "middle_name": "TYRELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.