NPI 1073647236 · live from the CMS NPI Registry
Clayton Edward Allen, LCSW
Social Worker, Clinical in Mountain Home, AR. National Provider Identifier 1073647236, active.
NPI record
| NPI | 1073647236 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 315 W 6th St, Mountain Home, AR 72653 |
| Practice phone | 870-425-8642 |
| Mailing address | 813 Capitol Dr, Mountain Home, AR 72653 |
| Enumerated | March 16, 2007 |
| Last updated | July 20, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 3046C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.