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

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mrs. Kassandre Jeanette Clayton Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2021.

{
    "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 Joint Unfied School District
• Corrections and Rehabilitation-Headquarters

• All providers in Corcoran, CA
• 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.