CLAY POT COUNSELING, INC. (NPI# 1164456315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164456315 |
| Entity Type | Organization |
| Organization Name | CLAY POT COUNSELING, INC. |
| Practice Address |
2615 Three Oaks Rd Ste 2a Cary IL 60013-6119 |
| Mailing Address |
Po Box 907 Cary IL 60013-0907 |
| Practice Telephone | 3077527016 |
| Mailing Telephone | 3077527016 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | DAWN E SOPRON (PRESIDENT) |
| Authorized Official Telephone | 3077527016 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW531 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BLUE CROSS BLUE SHIELD | 314353 | 01 |
| Street Address |
2615 THREE OAKS RD STE 2A |
| City | CARY |
| State | IL |
| Zip Code | 60013-6119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932133188 | Dawn Elizabeth Sopron | Social Worker | 2615 Three Oaks Rd Ste 2a, Cary, IL 60013-6119 | 2006-07-11 |
| 1164030151 | Yeschek and Associates Inc | Social Worker | 2615 Three Oaks Rd Ste 2a, Cary, IL 60013-6119 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1346333804 | Mary J Jago Krueger | Counselor | 204 Spring Street #27, Cary, IL 60013 | 2006-10-02 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| 1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
| 1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
| 1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
| 1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
| 1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| Find all providers in zip 60013 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400130 | Morgan Rudd | Social Worker | 534 Brisbane Woods Way, Cary, NC 27518-9249 | 2020-09-03 |
| 1568071587 | Mary Lynn Marus | Social Worker | 117 Bathgate Ln, Cary, NC 27513-5553 | 2020-07-27 |
| 1215566526 | Bloomed Within Pllc | Social Worker | 964 High House Rd, Cary, NC 27513-3574 | 2020-04-07 |
| 1639703804 | Fatima Funderburk | Social Worker | 1038 Alston Village Ln, Cary, NC 27519-1870 | 2020-02-26 |
| 1235692187 | Haley Dawn Moore | Social Worker | 900 Maroubra Loop Apt 8207, Cary, NC 27513-8850 | 2019-04-08 |
| 1861950230 | Lynn Rosan Morris | Social Worker | 211 Cranborne Ln, Cary, NC 27519-5917 | 2019-03-05 |
| 1497231393 | Hayat Shawwa | Social Worker | 5232 Koster Hill Pl, Cary, NC 27518-9270 | 2018-07-13 |
| 1396233532 | Alexis Gunipero Bunt | Social Worker | 547 Keisler Dr Ste 202, Cary, NC 27518-9309 | 2018-04-24 |
| 1306359740 | Jenique Taylor | Social Worker | 117 Mint Hill Dr, Cary, NC 27519-6930 | 2017-11-07 |
| 1326558933 | Nehal Outlaw | Social Worker | 124 Fox Briar Ln, Cary, NC 27518-8304 | 2017-10-09 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.