Individual provider Active NPI

Cheryl A. Clayton, L.C.S.W.

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1679659130
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003155 Issued in VA
Practice address
205 W Main St Ste 1
Abingdon, VA 24210-2765
Phone
(276) 254-5445
Fax
(276) 206-8045
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0904003155 VA
Clinical Social Worker 1041C0700X 0904003155 VA Primary

Addresses

Primary practice location

205 W Main St Ste 1
Abingdon, VA 24210-2765

Mailing address

PO Box 352
Abingdon, VA 24212-0352
Phone (276) 254-5445

Other practice location 1

22417 Watauga Rd
Abingdon, VA 24211-7065
Phone (276) 254-5445

Other identifiers 1

IdentifierTypeStateIssuer
008927154MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002395 VA Practitioner - Clinical Social Worker 0749665255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22417 Watauga Rd
Abingdon, VA 24211-7065
Phone (276) 254-5445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003155VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Steps Services, Inc. Counselor CurrentSince May 16, 2022 Accepting new patients
The Counseling Center PastSince Apr 4, 2012 Accepting new patients

Locations

22417 Watauga Rd
Abingdon, VA 24211
Phone (276) 254-5445

205 W Main St
Ste 1
Abingdon, VA 24210
Phone (276) 254-5445

261 North St
Bristol, VA 24201
Phone (276) 254-5445

3130 Lee Hwy
Ste 104105
Bristol, VA 24202
Phone (276) 254-5445

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1679659130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120352",
            "telephone_number": "276-254-5445",
            "fax_number": "276-206-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST STE 1",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102765",
            "telephone_number": "276-254-5445",
            "fax_number": "276-206-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22417 Watauga Rd",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117065",
            "country_code": "US",
            "telephone_number": "276-254-5445",
            "fax_number": "276-206-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0904003155",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008927154",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.