Kassandre J Clayton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81496 Issued in CA

Practice address

900 Quebec Avenue
Complex IV G-2 Room #153
Corcoran, CA 93212

Phone

(559) 992-7100

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kassandre Jeanette Clayton Professional name

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1619635133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E SHAW AVE APT 162",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107826",
            "telephone_number": "559-412-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 QUEBEC AVENUE",
            "address_2": "COMPLEX IV G-2 ROOM #153",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "93212",
            "telephone_number": "559-992-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "KASSANDRE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRE",
            "last_name": "CLAYTON",
            "middle_name": "JEANETTE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seulji Chang
• Michele Ann Chapman, M.D.
• Shiveta Cherwoo
• Caitlin Chinn-Goshgarian, PH.D.
• Barry Chong, PH.D.
• Constance G Colevins-Tumlin
• Corcoran District Hospital
• Corcoran District Hospital (Corcoran District Hospital Health Center)
• Corcoran Joint Unfied School District
• Corrections and Rehabilitation-Headquarters (Corcoran State Prison Hospital Pharmacy)

• Clinical Social Worker in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Clinical Social Worker in California

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