MRS. CLAIRE C LAYTON LCSW, CSAC, ICS
NPI 1174037196
Social Worker - Clinical in Waukesha, WI

Active since November 29, 2017PECOS EnrolledAccepts Medicare Assignment
514 RIVERVIEW AVE, WAUKESHA, WI 53188(262) 548-7666(262) 970-6696 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Mar 5, 2025, Nov 29, 2017 (3 updates tracked since 2017).

About Mrs. Claire C Layton Lcsw, Csac, Ics NPPES

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

MRS. CLAIRE C LAYTON LCSW, CSAC, ICS (NPI 1174037196) is an individual clinical provider in Waukesha, Wisconsin, licensed in Wisconsin (9442-123) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waukesha, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174037196
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CLAIRE C LAYTONCredential: LCSW, CSAC, ICS
Location Address514 RIVERVIEW AVEWaukesha, WI 53188-3631
Mailing Address514 Riverview AveWaukesha, WI 53188-3631 · (262) 548-7666
Fax(262) 970-6696
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 29, 2017
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1174037196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9442-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16427-132 (WI)
514 RIVERVIEW AVE, Waukesha, WI 53188

Secondary Practice Location 1

Location 1707 W Moreland BlvdWaukesha, WI 53188-2400 · Phone (262) 229-9313

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Claire C Layton Lcsw, Csac, Ics is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870960727
PECOS Enrollment IDI20221104002003, I20260213003191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Claire Layton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Mental Health (Including Community Mental Health Center)
514 RIVERVIEW AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 80 clinicians in this Medicare group
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Medicare enrollment name: Richard Kneip Phd PC
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Registered Nurse
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Social Worker (Clinical)
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Management
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Social Worker
514 RIVERVIEW AVE
WAUKESHA, WI 53188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claire Layton's NPI number?

The NPI number for Claire Layton is 1174037196. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Claire Layton located?

Claire Layton practices at 514 Riverview Ave, Waukesha, WI 53188. The listed phone number is (262) 548-7666.

What is Claire Layton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Claire Layton enrolled in Medicare?

Yes. Claire Layton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Claire Layton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Layton reassigns Medicare benefits to 2 organizations: Waukesha County (Waukesha, WI) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Layton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Layton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list Claire Layton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claire Layton was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.