Healthcare Provider Details

I. General information

NPI: 1841124633
Provider Name (Legal Business Name): DANAH MAE CLAYTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1369 GRAFTON ST
WORCESTER MA
01604-2737
US

IV. Provider business mailing address

10 NEBRASKA ST UNIT 8
WORCESTER MA
01604-3672
US

V. Phone/Fax

Practice location:
  • Phone: 574-514-0859
  • Fax:
Mailing address:
  • Phone: 574-514-0859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34012852A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: