Individual provider Active NPI

Sudie M Clem, MSW

  • Clinical Social Worker
  • Greenwood, SC
National Provider Identifier
1336331743
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5617 Issued in SC
Practice address
112 Bypass 225
Greenwood, SC 29646
Phone
(864) 344-3484
Fax
(864) 977-3480
NPI assigned
Aug 10, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5617 SC Primary

Addresses

Primary practice location

112 Bypass 225
Greenwood, SC 29646

Mailing address

112 Bypass 225
Greenwood, SC 29646-1154
Phone (864) 344-3484

Other practice location 1

112 Bypass 225
Greenwood, SC 29646
Phone (864) 344-3484

Other identifiers 1

IdentifierTypeStateIssuer
SW1112MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080423000045 SC Practitioner - Clinical Social Worker 5890873483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Bypass
Suite 225
Greenwood, SC 29646-1154
Phone (864) 344-3484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5617SCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sudie M Clem LLC Clinical CurrentSince Sep 17, 2017 Accepting new patients
Lynn T. Hemphill, LLC Clinical CurrentSince Oct 1, 2017 Accepting new patients

Locations

112 Bypass 225
Greenwood, SC 29646
Phone (864) 344-3484

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336331743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BYPASS 225",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296461154",
            "telephone_number": "864-344-3484",
            "fax_number": "864-977-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BYPASS 225",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-344-3484",
            "fax_number": "864-977-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Bypass 225",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "29646",
            "country_code": "US",
            "telephone_number": "864-344-3484",
            "fax_number": "864-977-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEM",
        "first_name": "SUDIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1112",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.