Individual
BRADLEY SHANE CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 523-8695
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-6711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7227
TN
1041S0200X
School Social Worker
9920
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061172
—
TN
Enumeration date
12/02/2014
Last updated
03/05/2024
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