Individual provider Active NPI

Stacey Denise Clayton, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1962547273
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05141200 Issued in NJ
Practice address
252 Washington St Ste C6
Toms River, NJ 08753-7582
Phone
(848) 251-2462
Fax
(848) 251-2461
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SL05141200 NJ Primary

Addresses

Primary practice location

252 Washington St Ste C6
Toms River, NJ 08753-7582

Mailing address

252 Washington St Ste C6
Toms River, NJ 08753-7582
Phone (732) 575-7341

Other practice location 1

104 Lark Rd
Toms River, NJ 08753-4272
Phone (732) 736-9774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240105003272 FL Practitioner - Clinical Social Worker 4486075140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1515 Tamiami TRL S
Suite 5
Venice, FL 34285-5557
Phone (732) 201-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05141200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East West Therapy, LLC Clinical CurrentSince Nov 27, 2023 Accepting new patients

Locations

1515 Tamiami Trl S
Ste 5
Venice, FL 34285
Phone (732) 201-6900

Organizations & group practices 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1962547273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON ST STE C6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537582",
            "telephone_number": "732-575-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON ST STE C6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537582",
            "telephone_number": "848-251-2462",
            "fax_number": "848-251-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Lark Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087534272",
            "country_code": "US",
            "telephone_number": "732-736-9774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "STACEY",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05141200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.