| Mark D. Clayton Lcsw Pc | |
|
166 N 300 W Ste 2 St George UT 84770-2770 | |
| (435) 673-4870 | |
| Not Available |
| Full Name | Mark D. Clayton Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 166 N 300 W, St George, Utah |
| Authorized Official Name and Position | Mark Clayton (PRESIDENT) |
| Authorized Official Contact | 4356734870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D. Clayton Lcsw Pc Po Box 3219 St George UT 84771-3219 Ph: (435) 673-4870 | Mark D. Clayton Lcsw Pc 166 N 300 W Ste 2 St George UT 84770-2770 Ph: (435) 673-4870 |
| NPI Number | 1346511953 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 8729247606 |
|---|---|
| Medicare Enrollment ID | O20120313000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346511953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark D Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376611384 PECOS PAC ID: 2163681040 Enrollment ID: I20120313000353 |
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