Daniel Clemons, LCSW
Individual provider Active NPI Clinical Social Worker · Port Townsend, WA
NPI 1821474073 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1821474073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 703 (KY)
- Practice address
- 884 W Park Ave
Port Townsend, WA 98368-2273 - Phone
- (360) 385-0321
- Fax
- (360) 379-5534
- NPI assigned
- Aug 10, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 703 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Community Counseling Center | Current |
Accepting new patients | |
| Madrona Institute of Washington | Past |
Accepting new patients |
Locations
884 W Park Ave
Port Townsend, WA 98368
Phone 3603850321201
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/discoverybh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 703 | KY | Yes |
Addresses
Primary practice location
884 W Park Ave
Port Townsend, WA 98368-2273
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other practice location 1
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Other providers in Port Townsend, WA
- David Toros Chuljian
- Rachel Claflin
- Claire Smith Roney, PH.D., Inc., PC
- Lisa Michelle Clark
- Ragan Lynn Claybourn
- Paige Elise Coffing
- Maor S Cohen
- Joan E Cole
- Jonathan Collin
- Anne Domonoske Colvin
All providers in Port Townsend, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.