Courteney Clemons

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800841 Issued in OH

Practice address

827 N Main St
Marion, OH 43302-1736

Phone

(740) 914-5000

Fax

(740) 914-5005

NPI assigned

Feb 7, 2017

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)

Enrolled

State licenses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1609314954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Stover Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430158601",
            "country_code": "US",
            "telephone_number": "740-369-6811",
            "fax_number": "740-363-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "COURTENEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S 1303646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Clark, LSW
• Michael Clark
• Brad Allen Clarkson, OTR
• Karen Diane Clay
• Selena Rhea Clement
• Mary P Clemons, CRNA
• Melissa Cline
• Nancy Noelle Cline, OT
• Theresa Lynn Cline, CNP
• Michael Patrick Cloran, DDS

• Clinical Social Worker in Marion, OH
• Providers in Marion, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.