Rushie Clayton, LCSW

Key facts

NPI

1669290474

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

C11255 (MS)

Practice address

3603 Sunrise Dr
Laurel, MS 39440-1661

Phone

(601) 577-5885

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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.

• MDB Behavioral Health Services LLC Rural Health Clinic/Center · Vicksburg, MS · NPI 1669835310
  Medicare reassignment Care Compare group NPD MS
• Minor Med Care, LLC Primary Care Clinic/Center · Jackson, MS · NPI 1407968738
  Medicare reassignment NPD MS
• Uppal Medical Center LLC Rural Health Clinic/Center · Greenville, MS · NPI 1558927905
  Care Compare group
• Minor Med Care, LLC Rural Health Clinic/Center · Raymond, MS · NPI 1669575627
  NPD

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uppal Medical Center LLC (129 clinicians)
MDB Behavioral Health Services LLC (201 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2024.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1669290474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 SUNRISE DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401661",
            "telephone_number": "601-577-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 SUNRISE DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401661",
            "telephone_number": "601-577-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "RUSHIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Laurel, MS · Clinical Social Worker in Mississippi