MR. WALT MORGAN CLIVE - NPI 1053068007 - Peer Specialist in Elizabethtown, KY

Q: What is Walt Clive's NPI number?

The NPI number for Walt Clive is 1053068007. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Q: What is Walt Clive's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Walt Clive was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Walt Morgan Clive NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WALT MORGAN CLIVE (NPI 1053068007) is an individual peer specialist in Elizabethtown, Kentucky and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1053068007

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. WALT MORGAN CLIVE

Location Address612 E DIXIE AVEElizabethtown, KY 42701-1077

Mailing Address612 E Dixie AveElizabethtown, KY 42701-1077

Phone(502) 994-5553

Sole ProprietorNo

Enumeration DateMarch 9, 2022

NPPES CertifiedMarch 9, 2022

✔ NPI 1053068007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

612 E DIXIE AVE, Elizabethtown, KY 42701

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARIAH ALOYSIUS CASWELL

Peer Specialist