Caitlin Alexis Crosby Clem, LIMHP, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119476 Issued in IA

Practice address

11640 Arbor St Ste 101
Omaha, NE 68144-5007

Phone

(402) 303-3391

NPI assigned

May 25, 2023

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenandoah Medical CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shenandoah Medical Center

  • Certified Registered Nurse Anesthetist
  • Shenandoah, IA
  • NPI 1497810972
  Medicare reassignment NPD
• Breaking the Loop Behavioral Health LLC

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1891633962
  NPD Authorized official
• Shenandoah Medical Center

  dba Shenandoah Physicians Clinic

  • Rural Health Clinic/Center
  • Shenandoah, IA
  • NPI 1427300201
  NPD
• Shenandoah Medical Center

  dba SMC Community Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, IA
  • NPI 1447937230
  NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1639861677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-303-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 ARBOR ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445007",
            "telephone_number": "402-303-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jack Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "IA",
            "postal_code": "516014586",
            "country_code": "US",
            "telephone_number": "712-246-7400 x7423",
            "fax_number": "712-246-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEM",
        "first_name": "CAITLIN",
        "middle_name": "ALEXIS CROSBY",
        "name_prefix": "Mrs.",
        "credential": "LIMHP, LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "119476",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931911",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "4520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Cleaver
• Sarah Ashley Cleaver, APRN
• Andrew David Clegg
• Margaret A Cleghorn
• Kindred Clelland
• Janet Clemens
• Michaela Clemens, MS, PLMHP
• Christopher Richard Clement, PHARMD
• Tiffany Lyn Clemente
• Clementine Nebraska ABA LLC

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.