Individual provider Active NPI

Sherry Clayton, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1609170836
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1990 Issued in KS
Practice address
305 SE 17TH St Ste C
Topeka, KS 66607-1266
Phone
(785) 230-3756
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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 1990 KS Primary

Addresses

Primary practice location

305 SE 17TH St Ste C
Topeka, KS 66607-1266

Mailing address

4536 SW Elevation LN
Topeka, KS 66610-1201
Phone (785) 230-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000090 KS Practitioner - Clinical Social Worker 1456537398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Connections, Inc.Group PAC ID 2961580865, 2 clinicians

Practice addresses (Care Compare)

305 SE 17TH C
Topeka, KS 66607-1266

305 SE 17TH St
Suite C
Topeka, KS 66607-1266
Phone (785) 213-2342

305 SE 17TH St C
Topeka, KS 66607-1266

5820 SW Drury LN
Homestead Assisted Living
Topeka, KS 66604-2262
Phone (785) 272-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1990KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Connections, Inc. Clinical CurrentSince Aug 10, 2016 Accepting new patients
Life Connections Clinical Past Accepting new patients

Locations

305 SE 17th St
Ste C
Topeka, KS 66607
Phone (785) 213-2342

Organizations & group practices 2

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1609170836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 SW ELEVATION LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101201",
            "telephone_number": "785-230-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SE 17TH ST STE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071266",
            "telephone_number": "785-230-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.