Provider Demographics
NPI:1659723609
Name:CLAUGHTON, KASSIE (LCSW)
Entity Type:Individual
Prefix:
First Name:KASSIE
Middle Name:
Last Name:CLAUGHTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 E CLAYS FORK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9218
Mailing Address - Country:US
Mailing Address - Phone:408-507-6800
Mailing Address - Fax:
Practice Address - Street 1:1986 S COAST HWY
Practice Address - Street 2:SUITE 1600
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651
Practice Address - Country:US
Practice Address - Phone:408-507-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-01
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0119451041C0700X
SCSW.12898CP1041C0700X
NV8195-C1041C0700X
TX670391041C0700X
FLSW158551041C0700X
AL4234C1041C0700X
AK1607641041C0700X
AZ186701041C0700X
UT11256983-35011041C0700X
LA153371041C0700X
MO20160230561041C0700X
COCSW.099256251041C0700X
MO20180279461041C0700X
PACW0206541041C0700X
CALCSW858631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical