JACOB THADDEUS CLAYTON LCSW NPI 1851383871

NPI Information

NPI: 1851383871
Provider Name: JACOB THADDEUS CLAYTON, LCSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
106 THREE RIVERS N
FORT WAYNE, IN
ZIP 46802
Phone: (260) 426-5778
Get Directions

Jacob Thaddeus Clayton, LCSW is a professional counselor in Fort Wayne, IN. Jacob Thaddeus Clayton, LCSW NPI is 1851383871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

106 THREE RIVERS N
FORT WAYNE, IN
ZIP 46802-312
Phone: (260) 426-5778

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	34005012A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »