Provider Demographics
NPI:1700570868
Name:CLAYTON, NATHAN ALAN (MSW)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:ALAN
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FOX RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:TN
Mailing Address - Zip Code:38366-1762
Mailing Address - Country:US
Mailing Address - Phone:731-608-8103
Mailing Address - Fax:
Practice Address - Street 1:168 W UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1624
Practice Address - Country:US
Practice Address - Phone:731-660-0199
Practice Address - Fax:731-227-6119
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker