Clear Way Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS13358 Issued in CA

Legal business name

CLEAR WAY SERVICES, INC.

Practice address

3055 W Orange Ave Ste 206
Anaheim, CA 92804-3154

Phone

(909) 702-2068

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ken Kaiser, LCSW

Title

President

Phone

(909) 702-2068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1942486345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 BAKER AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102303",
            "telephone_number": "909-702-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043154",
            "telephone_number": "909-702-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WAY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-702-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Damon Clementin
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• Clinical Social Worker in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.