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SCOTT CLEM
NPI 1063890341
Residential Treatment Facility, Emotionally Disturbed Children in Gillette, WY

Active since May 07, 2015
905 N GURLEY AVE, GILLETTE, WY 82716(307) 686-0669 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Scott Clem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT CLEM (NPI 1063890341) is an individual residential treatment facility, emotionally disturbed children provider in Gillette, Wyoming, licensed in Wyoming (020407A2) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1063890341
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameSCOTT CLEM
Location Address905 N GURLEY AVEGillette, WY 82716-2109
Mailing Address905 N Gurley AveGillette, WY 82716-2109 · (307) 686-0669
Phone(307) 686-0669
Sole ProprietorYes
Enumeration DateMay 7, 2015
✔ NPI 1063890341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in WY · 020407A2
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
905 N GURLEY AVE, Gillette, WY 82716
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Other Identifiers 1

Medicaid3076860669WY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNETTE FALKMAN
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669
MS. JESSICA RODGERS
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669
MRS. AMY MICHELLE MENDOZA
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669
YOUTH EMERGENCY SERVICES, INC.
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-7434
BRIANNA HAGERMAN
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-2530
ASHLEY SIMONSON
Day Training, Developmentally Disabled Services
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669
JANNA SWANSON
Counselor (Mental Health)
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669
WENDI PERCIFIELD PCSW
Social Worker
905 N GURLEY AVE
GILLETTE, WY 82716
Campbell County (307) 686-0669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Clem's NPI number?

The NPI number for Scott Clem is 1063890341. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Scott Clem located?

Scott Clem practices at 905 N Gurley Ave, Gillette, WY 82716. The listed phone number is (307) 686-0669.

What is Scott Clem's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Scott Clem was last updated on May 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.