JACQUELYN CLEMONS LLBSW
NPI 1417476151
Student in an Organized Health Care Education/Training Program in Ecorse, MI

Q: What is Jacquelyn Clemons's NPI number?

The NPI number for Jacquelyn Clemons is 1417476151. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Q: What is Jacquelyn Clemons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Clemons was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 13, 2017

4300 6TH ST, ECORSE, MI 48229(313) 724-6192 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jacquelyn Clemons Llbsw NPPES

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

JACQUELYN CLEMONS LLBSW (NPI 1417476151) is an individual student in an organized health care education/training program in Ecorse, Michigan and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1417476151

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACQUELYN CLEMONSCredential: LLBSW

Location Address4300 6TH STEcorse, MI 48229-1110

Mailing Address9348 Tobine StRomulus, MI 48174-3365 · (313) 285-0156

Phone(313) 724-6192

Sole ProprietorYes

Enumeration DateSeptember 13, 2017

✔ NPI 1417476151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4300 6TH ST, Ecorse, MI 48229

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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 Jacquelyn Clemons's NPI number?

The NPI number for Jacquelyn Clemons is 1417476151. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Jacquelyn Clemons located?

Jacquelyn Clemons practices at 4300 6th St, Ecorse, MI 48229. The listed phone number is (313) 724-6192.

What is Jacquelyn Clemons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Clemons was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.