Clayton Counseling Licensed Clinical Social Worker Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLAYTON COUNSELING LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

2180 Garnet Ave Ste 2E
San Diego, CA 92109-3675

Phone

(858) 688-4269

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Kristen Michelle Clayton, LCSWNPI 1396914057

Title

Ceo

Phone

(858) 688-4269

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Kristen M Clayton, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1396914057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1902426018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22063",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921922063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE STE 2E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093675",
            "telephone_number": "858-688-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON COUNSELING LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-688-4269",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396914057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian J Clay, M.D.
• Jordan-Lee Joan Clay
• Kelsey Clay
• Paul Clay, PT
• Laura Lynn Claydon-Garcia, CCAPP
• Christine S Clayton, C.N.P.
• Emily Clayton, M.A., CCC-SLP
• John Preston Clayton III, M.D.
• Joneka Clayton, LCSW
• Kristen M Clayton, LCSW

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.