Provider Demographics
NPI:1689749244
Name:CLAY, SARAH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:CLAY
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:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:DRASCO
Mailing Address - State:AR
Mailing Address - Zip Code:72530-0026
Mailing Address - Country:US
Mailing Address - Phone:501-206-8782
Mailing Address - Fax:
Practice Address - Street 1:249 TIGER B RD
Practice Address - Street 2:
Practice Address - City:DRASCO
Practice Address - State:AR
Practice Address - Zip Code:72530-3337
Practice Address - Country:US
Practice Address - Phone:501-206-8782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1554-C101Y00000X, 101YM0800X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker