Individual provider Active NPI

Madelyn Clemens

  • Social Worker
  • Mansfield, PA
National Provider Identifier
1457263949
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW143717 Issued in PA
Practice address
1550 S Main St
Mansfield, PA 16933-9586
Phone
(157) 066-2795
NPI assigned
Sep 19, 2026
Last updated
Sep 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 Worker 104100000X SW143717 PA Primary

Addresses

Primary practice location

1550 S Main St
Mansfield, PA 16933-9586

Mailing address

45 Waln St Apt a
Wellsboro, PA 16901-5800

Other practice location 1

40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 723-0620

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1457263949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WALN ST APT A",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169015800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169339586",
            "telephone_number": "157-066-2795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W Wellsboro St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "PA",
            "postal_code": "169331411",
            "country_code": "US",
            "telephone_number": "570-723-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "MADELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW143717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.