Clay Poplin LCSW, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

NV20101260400 Issued in NV

Legal business name

CLAY POPLIN LCSW, LLC

Practice address

607 Lana Dr
Suite C
Cameron, MO 64429-1392

Phone

(816) 284-2029

Fax

(816) 632-8228

NPI assigned

Jun 8, 2010

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Clay Poplin, LCSWNPI 1538229802

Title

Owner

Phone

(816) 284-2029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Poplin, LCSW

  • Clinical Social Worker
  • Cameron, MO
  • NPI 1538229802
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1811217276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644290392",
            "telephone_number": "816-284-2029",
            "fax_number": "816-632-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 LANA DR",
            "address_2": "SUITE C",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291392",
            "telephone_number": "816-284-2029",
            "fax_number": "816-632-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY POPLIN LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "POPLIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-284-2029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NV",
            "license": "NV20101260400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Regional Medical Center, Inc. (Behaviorial Health Unit)
• Cristi Campbell, FNP
• Richard D Campbell, ANP
• Mark Landis Carr, DDS
• Charles E Chatfield, NP-C
• Jennifer Larae Clemons, COTA/L
• Clinco Sheltered Industries, Inc.
• Marci Rhea Cline, FNP-C
• Abby Coles-Johnson, P.T.
• Guy A Corazzin, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cameron, MO
• Providers in Cameron, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.