Individual provider Active NPI

Indria F Clay, LCSW

  • Clinical Social Worker
  • Willmar, MN
National Provider Identifier
1649315201
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6516 Issued in TN
Practice address
1125 6TH St SE
Willmar, MN 56201-4675
Phone
(320) 235-4613
Fax
(855) 625-7406
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015337 VA
Clinical Social Worker 1041C0700X 31094 MN
Clinical Social Worker 1041C0700X C10833 MS
Clinical Social Worker 1041C0700X 6516 TN Primary
Clinical Social Worker 1041C0700X 149013027 IL

Addresses

Primary practice location

1125 6TH St SE
Willmar, MN 56201-4675

Mailing address

211 Reed Cir
Medina, TN 38355-9818
Phone (731) 660-8781

Other practice location 1

33 Directors Row Ste A
Jackson, TN 38305
Phone (731) 541-7605

Other practice location 2

15001 S 1st St
Milan, TN 38358-5132
Phone (731) 613-2535

Other practice location 3

211 Reed Cir
Medina, TN 38355-9818
Phone (731) 784-7773

Other names 1

  • Indria F Clay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, MN, DC, MS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20131007000682 IL Practitioner - Clinical Social Worker 2264666270 Reassigns benefits to 1 organization
I20171011001264 TN Practitioner - Clinical Social Worker 2264666270 Reassigns benefits to 3 organizations
I20220809000642 MN Practitioner - Clinical Social Worker 2264666270 Reassigns benefits to 1 organization
I20230809002380 DC Practitioner - Clinical Social Worker 2264666270 Reassigns benefits to 1 organization
I20260406002161 MS Practitioner - Clinical Social Worker 2264666270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C10833MSMDClinical Social Worker
0904015337VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince May 26, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 28, 2023 Accepting new patients
Professional Health Services of Jackson Clinical CurrentSince Mar 15, 2022 Accepting new patients
Family Care Walk in Clinic, Inc. PastSince Jul 1, 2008 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

233 Oil Well Rd
Ste E
Jackson, TN 38305
Phone (731) 660-8467

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1649315201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 REED CIR",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559818",
            "telephone_number": "731-660-8781",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 6TH ST SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014675",
            "telephone_number": "320-235-4613",
            "fax_number": "855-625-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Directors Row Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38305",
            "country_code": "US",
            "telephone_number": "731-541-7605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15001 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383585132",
            "country_code": "US",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Reed Cir",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "TN",
            "postal_code": "383559818",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "INDRIA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31094",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6516",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDRIA",
            "last_name": "CLAY",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.