Individual provider Active NPI

Ariel Clementi

  • Social Worker
  • Wichita, KS
National Provider Identifier
1114460813
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9843 Issued in KS
Practice address
1999 N Amidon Ave Ste 208
Wichita, KS 67203-2123
Phone
(316) 512-8889
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9843 KS Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1999 N Amidon Ave Ste 208
Wichita, KS 67203-2123

Mailing address

1999 N Amidon Ave Ste 208
Wichita, KS 67203-2123
Phone (316) 512-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514000344 KS Practitioner - Clinical Social Worker 0648611285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9843KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ariel Clementi LLC Clinical Current Accepting new patients
Soma Recovery LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

1999 N Amidon Ave
Ste 208
Wichita, KS 67203
Phone (316) 440-4288

825 N Waco Ave
Wichita, KS 67203
Phone (316) 201-6047

825 N Waco Ave
Ste 200
Wichita, KS 67203
Phone (316) 201-6047

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1114460813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-512-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-512-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTI",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9843",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.