Lisa Carol Clem, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

61-0723605 Issued in KY

Practice address

236 Bridgett Dr
Mt Sterling, KY 40353-1601

Phone

(859) 498-7111

NPI assigned

Oct 31, 2014

Last updated

Sep 17, 2025By 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 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frankfort, KY
  • NPI 1790731081
  Medicare reassignment NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, KY
  • NPI 1023359783
  NPD
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stanton, KY
  • NPI 1043250095
  NPD
• Raven Rock Health &Wellness

  • Primary Care Clinic/Center
  • Stanton, KY
  • NPI 1144978594
  NPD
• Bless the Lord Church, Inc

  dba Shepherd Shelter Ross Rehab

  • Substance Abuse Rehabilitation Facility
  • Mt Sterling, KY
  • NPI 1780143826
  NPD (past)

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1750786885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 LITTLE HARDWICKS CREEK RD",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "403129652",
            "telephone_number": "859-230-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BRIDGETT DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531601",
            "telephone_number": "859-498-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEM",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "61-0723605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Charles, PSS
• Chiro One Wellness Center of Mt Sterling PLLC
• Joe Chism, RD
• Rebekah J Chittenden, LCSW
• Clark Regional Physician Practices LLC (Centerpoint Family Medicine - Mt. Sterling)
• Justin Closson
• Pamela Louise Code
• Richard Coe, PSS
• Meg Cole
• Brittany Coleman

• Social Worker in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.

Verify at the official NPI Registry.