Individual provider Active NPI

Clayton St Pierre, L.S,W,

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1649676172
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1450815 Issued in OH
Practice address
5050 Madison Rd
Cincinnati, OH 45227-1491
Phone
(531) 272-2800
NPI assigned
Nov 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1450815 OH Primary

Addresses

Primary practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Mailing address

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800

Other practice location 1

555 Old State Route 74
Cincinnati, OH 45244-1556
Phone (513) 752-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1450815OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1649676172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-272-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "531-272-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Old State Route 74",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441556",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "L.S,W,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1450815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.