Provider Demographics
NPI:1457148801
Name:CLAYTON, SHELBY GRACE (MSW)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:GRACE
Last Name:CLAYTON
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 GALPIN CT
Mailing Address - Street 2:
Mailing Address - City:TIMBERLAKE
Mailing Address - State:NC
Mailing Address - Zip Code:27583-8405
Mailing Address - Country:US
Mailing Address - Phone:919-815-2379
Mailing Address - Fax:
Practice Address - Street 1:61 GALPIN CT
Practice Address - Street 2:
Practice Address - City:TIMBERLAKE
Practice Address - State:NC
Practice Address - Zip Code:27583-8405
Practice Address - Country:US
Practice Address - Phone:919-815-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker