Clay Carron
Individual provider Active NPI Community Health Worker · Dennison, OH
NPI 1679398705 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1679398705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 700 Dudgeon Way
Dennison, OH 44621-1305 - Phone
- (440) 260-6835
- NPI assigned
- Nov 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
700 Dudgeon Way
Dennison, OH 44621-1305
Mailing address
3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone (440) 260-6835
Other providers in Dennison, OH
- Christine Bowers
- Amber J Bradford
- Anmol Brar
- Stuart K Brown
- Khurram Butt
- Medha Choudhary
- Steven Clarke
- Claymont City Schools
- Communities for Disabled Americans Dot Org C-Dag
- Complete Dental Care of Dennison
All providers in Dennison, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.