Provider Demographics
NPI:1609170836
Name:CLAYTON, SHERRY (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4536 SW ELEVATION LN
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1201
Mailing Address - Country:US
Mailing Address - Phone:785-230-3756
Mailing Address - Fax:
Practice Address - Street 1:305 SE 17TH ST STE C
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66607-1266
Practice Address - Country:US
Practice Address - Phone:785-230-3756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS19901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical