Taylor, Clinton Thayne
Taylor, Clinton Thayne is an individual health care provider with primary practice located at 1001 W Broadway Ste D , Farmington NM 87401-5638. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Taylor, Clinton Thayne can be contacted via phone (505) 325-0238.Contact Information
Primary practice address
1001 W Broadway Ste D
Farmington NM 87401-5638
Phone: (505) 325-0238
Fax: (505) 325-9113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-11047 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-11195 | New Mexico |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0176141 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-09715 | New Mexico |
Profile Details
| NPI number | 1780121046 |
|---|---|
| LBN Legal business name | Taylor, Clinton Thayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2017 |
| Last updated | Apr 2nd, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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