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MRS. NICOLE CLEM
NPI 1336779818
Social Worker - Clinical in Springfield, OH

Active since January 23, 2020PECOS Enrolled
15 E PLEASANT ST, SPRINGFIELD, OH 45506(937) 325-5564(937) 325-8727 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Jan 27, 2020, Jan 23, 2020 (3 updates tracked since 2020).

About Mrs. Nicole Clem NPPES

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

MRS. NICOLE CLEM (NPI 1336779818) is an individual clinical provider in Springfield, Ohio, licensed in Ohio (I.2405750) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336779818
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE CLEM
Location Address15 E PLEASANT STSpringfield, OH 45506-2201
Mailing Address15 E Pleasant StSpringfield, OH 45506-2201 · (937) 325-5564 · Fax (937) 325-8727
Phone(937) 325-5564
Fax(937) 325-8727
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1336779818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2405750
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License S.2001258-TRNE (OH)
15 E PLEASANT ST, Springfield, OH 45506
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Other Names 1

Former Name (1)Nicole Butler

Other Identifiers 1

Medicaid2433503OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Clem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Clem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Services For Clark Co Inc
1.0 mi
Multi-Specialty
474 N YELLOW SPRINGS STREET
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
NPI 1598022758 (937) 399-9500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

BARBARA RIPLEY MSW, LSW
Social Worker
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
MRS. ZOE ALISON BURCH MA
Clinic/Center (Adolescent and Children Mental Health)
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
SUSAN SASSENBERG
Counselor
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
GAYLE J ROBINSON MS, LPCC, LISW
Counselor (Addiction (Substance Use Disorder))
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
TRACEY L STUTE LISW-S
Social Worker
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
LOUISE SMITH LPC
Counselor (Professional)
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
WELLSPRING
Counselor (Addiction (Substance Use Disorder))
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564
LAURA ANN LIPPENCOTT LSW
Social Worker
15 E PLEASANT ST
SPRINGFIELD, OH 45506
Clark County (937) 325-5564

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 Nicole Clem's NPI number?

The NPI number for Nicole Clem is 1336779818. It was assigned to this individual provider in the NPPES registry on January 23, 2020. The provider is also known as Nicole Butler.

Where is Nicole Clem located?

Nicole Clem practices at 15 E Pleasant St, Springfield, OH 45506. The listed phone number is (937) 325-5564.

What is Nicole Clem's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Clem enrolled in Medicare?

Yes. Nicole Clem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Clem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Clem reassigns Medicare benefits to Mental Health Services For Clark Co Inc (Springfield, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Clem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Clem accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nicole Clem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Clem was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.