EMILY CLEMENTS LICSW
NPI 1881334712
Social Worker in Shoreview, MN

Q: What is Emily Clements's NPI number?

The NPI number for Emily Clements is 1881334712. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Q: What is Emily Clements's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Clements was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 30, 2022PECOS Enrolled

3490 LEXINGTON AVE N STE 205, SHOREVIEW, MN 55126(651) 486-3808(651) 486-3858 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Emily Clements Licsw NPPES

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

EMILY CLEMENTS LICSW (NPI 1881334712) is an individual social worker in Shoreview, Minnesota and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881334712

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameEMILY CLEMENTSCredential: LICSW

Location Address3490 LEXINGTON AVE N STE 205Shoreview, MN 55126-8044

Mailing Address3490 Lexington Ave N Ste 205Shoreview, MN 55126-8044 · (651) 486-3808 · Fax (651) 486-3858

Phone(651) 486-3808

Fax(651) 486-3858

Sole ProprietorNo

Enumeration DateMarch 30, 2022

NPPES CertifiedMarch 30, 2022

✔ NPI 1881334712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3490 LEXINGTON AVE N STE 205, Shoreview, MN 55126

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Clements Licsw 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 Emily Clements reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Youth & Family Services

Same address

Mental Health (Including Community Mental Health Center)

3490 LEXINGTON AVE N, SUITE 205
Shoreview, MN 55126

Reassigned Medicare billing, Minnesota enrollment
12 clinicians in this Medicare group

NPI 1639275852 (651) 486-3808

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

Other Providers at the Same Location NPPES 12

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

JACLYN ROSE SUCHY

Counselor (Professional)