Linda Sue Clemens, SUD,MSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP00006334 Issued in WA

Practice address

1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713

Phone

(360) 397-8246

Fax

(360) 397-8164

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1285814871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE PARK CREST AVE APT C43",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838372",
            "telephone_number": "971-334-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613713",
            "telephone_number": "360-397-8246",
            "fax_number": "360-397-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "credential": "SUD,MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CP00006334",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "CP00006334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Springs Al GR, LLC
• Clearwater Springs Assisted Living Community
• Kristen K Clearwater, LMP
• Tanga Cleeve
• Elisabeth Grace Clemans, LMP
• Estela Uy Clemente, PHARM.D.
• Hannah Rose Clemmer
• Raelynn Clemmer
• Kimberly Nichol Clemons, RN
• Clerestorie LLC

• Professional Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.