Provider Demographics
NPI:1285121715
Name:CLAYDEN, ALYSSA (PHD, LISW)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:CLAYDEN
Suffix:
Gender:F
Credentials:PHD, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 NE CRESTMOOR LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-0020
Mailing Address - Country:US
Mailing Address - Phone:706-294-5971
Mailing Address - Fax:
Practice Address - Street 1:4902 NE CRESTMOOR LN
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-0020
Practice Address - Country:US
Practice Address - Phone:706-294-5971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0074551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical