| Clayton & Clayton Counseling, Pllc | |
|
8038 Macintosh Ln Rockford IL 61107-5336 | |
| (815) 708-7411 | |
| Not Available |
| Full Name | Clayton & Clayton Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8038 Macintosh Ln, Rockford, Illinois |
| Authorized Official Name and Position | Kayla Anne Clayton (LCSW/OWNER) |
| Authorized Official Contact | 8157087411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton & Clayton Counseling, Pllc 5062 Rockrose Ct Ste 78 Roscoe IL 61073-7797 Ph: (815) 708-7411 | Clayton & Clayton Counseling, Pllc 8038 Macintosh Ln Rockford IL 61107-5336 Ph: (815) 708-7411 |
| NPI Number | 1417720467 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 0749626588 |
|---|---|
| Medicare Enrollment ID | O20240314002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417720467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kayla A Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386159747 PECOS PAC ID: 6901166735 Enrollment ID: I20180215002284 |
| Provider Name | Matthew C Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184400145 PECOS PAC ID: 5496191231 Enrollment ID: I20240314003035 |
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