McKenzie Nicole Clemons, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16197 Issued in SC

Practice address

75 Innovation Dr Apt 8205
Greenville, SC 29607-7712

Phone

(706) 248-6679

NPI assigned

Jul 13, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1649959057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 INNOVATION DR APT 8205",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296077712",
            "telephone_number": "706-248-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "MCKENZIE",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Stevens Cleary, RN
• Derek Collin Clem, D.C.
• Kathleen Curley Clement, MD
• Megan Brelynne Martin Clement, MD
• Jill D Clemment, CRNA
• Shondre Costine Clemons, MA,CCC-SLP
• Steven Lee Clemons Sr., FNP
• Clemson Eye, PA
• Emily Cleveland, DO, MPH
• Tracy L Cleveland

• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.