Kyla Dawn Claycomb

Primary specialty

Social WorkerTaxonomy code 104100000X

License

256896 Issued in KY

Practice address

1518 Yorkshire Dr
Elizabethtown, KY 42701-9191

Phone

(270) 594-1199

NPI assigned

Jun 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Counseling and Consultation, PLLC

  • Multi-Specialty Clinic/Center
  • Elizabethtown, KY
  • NPI 1568116002
  NPD

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1851020002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 FAIR AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011601",
            "telephone_number": "270-750-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 YORKSHIRE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019191",
            "telephone_number": "270-594-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYCOMB",
        "first_name": "KYLA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "256896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valisa Ann Clark, APRN
• Clarkson Optometry Midwest Inc.
• Sunday Sue Clauson, M.A.S.E.
• Kelly Lynn Claycamp, LPCA
• Jamie Claycomb
• Greg Claywell, HEARING INSTRUMENT S
• McKenzie Jo Clemons, M.S., CF-SLP
• Walt Morgan Clive
• Katherine E Clouse
• Emily Laine Coates

• Social Worker in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.