Christina Marie Clements, LCSW, MED

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018646 Issued in PA

Practice address

1400 Blackhorse Hill Rd
Coatesville, PA 19320-2096

Phone

(610) 384-7711

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1386092088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N SYCAMORE AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181032",
            "telephone_number": "518-534-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKHORSE HILL RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202096",
            "telephone_number": "610-384-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LCSW, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2022-03-17",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Behavioral Health Center
• Gary Chopp, D.D.S.
• Donna Marie Clark, LPC
• Katherine Marie Clauhs
• Clear Insight Therapy LLC
• Coatesville Area School District
• Coatesville Clinic Company LLC (Family Medicine Downington Tower Health Medical Group)
• Coatesville Clinic Company LLC (Telemedicine Brandywine Tower Health Medical Group)
• Coatesville Clinic Company, LLC (Brandywine Valley Family Medicine)
• Coatesville Clinic Company, LLC (Brandywine OB/GYN Associates)

• Clinical Social Worker in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.