Individual provider Active NPI

Nina Clements, APSW

  • Social Worker
  • Madison, WI
National Provider Identifier
1275469165
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136154-121 Issued in WI
Practice address
660 W Washington Ave Ste 308
Madison, WI 53703-4703
Phone
(608) 889-7173
NPI assigned
Jun 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 136154-121 WI Primary

Addresses

Primary practice location

660 W Washington Ave Ste 308
Madison, WI 53703-4703

Mailing address

1360 Regent St Ste 133
Madison, WI 53715-1255
Phone (608) 889-7173

Other practice location 1

5315 Wall St Ste 200
Madison, WI 53718-7937
Phone (608) 889-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1360 Regent St
Suite 133
Madison, WI 53715-1255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC Social Worker CurrentSince Mar 12, 2024 Accepting new patients

Locations

660 W Washington Ave
Ste 308
Madison, WI 53703
Phone (608) 251-6590

5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173

1360 Regent St
Madison, WI 53715
Phone (608) 889-7173

Organizations & group practices 1

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": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1275469165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 REGENT ST STE 133",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151255",
            "telephone_number": "608-889-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W WASHINGTON AVE STE 308",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "608-889-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5315 Wall St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537187937",
            "country_code": "US",
            "telephone_number": "608-889-7173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "NINA",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "136154-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.