Christopher Brayton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-32843 Issued in ID

Practice address

1553 S Lee Ave
Idaho Falls, ID 83404-5936

Phone

(208) 351-5462

NPI assigned

Jan 29, 2015

Last updated

Jan 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1649660663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 S LEE AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045936",
            "telephone_number": "208-351-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 S LEE AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045936",
            "telephone_number": "208-351-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYTON",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-32843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Brady, MA
• Sarah Kay Bragg, M.S., CCC-SLP
• David L Bramwell, D.C., D.A.B.C.O.
• Anne Marie Brasher, LMSW
• Carl Samuel Brayton, DO
• Brent Cline DDS PLLC (Oxford Dental)
• Brent F. Baldree PH.D., Inc.
• Bret E. Mooso D.D.S.,M.S.
• Brian E O'Byrne, M.D. P.a.
• Brian R Hobbs Crna PC

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.