Misty Clements, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023398 Issued in PA

Practice address

400 Roseland Rd
Hummelstown, PA 17036-8208

Phone

(717) 612-8374

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

Yes

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1649970476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROSELAND RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368208",
            "telephone_number": "717-612-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSELAND RD",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368208",
            "telephone_number": "717-612-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MISTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Chango
• Sophia Chas, M.S.
• Umer Chaudry
• Andrew Guang Chen, MS, DO
• Childen'S Community Care
• Gwendolyn Collier, PA-C
• Kelly Cook, CRNP
• Richard T Cook Jr., MD, MPH
• Scott J. Cook, DPT
• Sarah Grace Corle, MSN, PMHNP-BC

• Clinical Social Worker in Hummelstown, PA
• Providers in Hummelstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.