Organization
CLAY POT COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN E SOPRON L.C.S.W. (PRESIDENT)
(307) 752-7016
Entity
Organization
Contact information
Practice address
200 ASH ST, UNIT B, CRYSTAL LAKE, IL 60014-5956
(307) 752-7016
Mailing address
PO BOX 907, CARY, IL 60013-0907
(307) 752-7016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW531
WY
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314353
BLUE CROSS BLUE SHIELD
WY
01
—
396827550
BCBSIL
IL
01
—
F100698449
MEDICARE NGS
IL
Enumeration date
07/11/2006
Last updated
04/28/2025
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