James Lawson Clements, MSW, LCSW-C
Individual provider Active NPI Clinical Social Worker · Perry Hall, MD
NPI 1255537460 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255537460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 01594 (MD)
- Practice address
- 16 Bangert Ave
Perry Hall, MD 21128-9566 - Phone
- (410) 256-6070
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01594 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01594 | MD | Yes |
Addresses
Primary practice location
16 Bangert Ave
Perry Hall, MD 21128-9566
Mailing address
16 Bangert Ave
Perry Hall, MD 21128-9566
Phone (410) 256-6070
Other providers in Perry Hall, MD
- Charlotte'S Hair Line Inc.
- Olivia Cheikh
- Chesapeake Pediatric Dental Group Inc
- Chesapeake Pediatric Dental Group, Inc
- Allison Chiu
- James Coles II
- Jeffrey A. Cool
- Anthony Tanner Crisafulli
- Molly Cruse
- Myrnelle Damas
All providers in Perry Hall, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.