Active NPI
Nicole A Clement, CSW
- Clinical Social Worker
- Bowling Green, KY
National Provider Identifier
1497285258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252574
- Practice address
- 1336 Dayspring Court
Bowling Green, KY 42104-4257 - Phone
- (270) 498-9390
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 252574 | KY | Primary |
Addresses
Primary practice location
1336 Dayspring Court
Bowling Green, KY 42104-4257
Mailing address
1336 Dayspring Court
Bowling Green, KY 42104-4257
Phone (270) 498-9390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211015002666 | KY | Practitioner - Clinical Social Worker | 8628476934 | Practice locations: Bowling Green, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252574 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691280000000",
"number": "1497285258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 DAYSPRING COURT",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421044257",
"telephone_number": "270-498-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 DAYSPRING COURT",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421044257",
"telephone_number": "270-498-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "NICOLE",
"middle_name": "A",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2023-08-06",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.