COURTNEY SIMONE CLEMENTS LCSW
NPI 1962953141
Social Worker in San Diego, CA

Q: What is Courtney Clements's NPI number?

The NPI number for Courtney Clements is 1962953141. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Q: What is Courtney 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 Courtney Clements was last updated on September 7, 2023. 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.

Active since October 21, 2016PECOS EnrolledAccepts Medicare Assignment

4094 4TH AVE, SAN DIEGO, CA 92103(619) 515-2545 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 7, 2023, Oct 21, 2016 (2 updates tracked since 2016).

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About Courtney Simone Clements Lcsw NPPES

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

COURTNEY SIMONE CLEMENTS LCSW (NPI 1962953141) is an individual social worker in San Diego, California, licensed in California (98425) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962953141

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameCOURTNEY SIMONE CLEMENTSCredential: LCSW

Location Address4094 4TH AVESan Diego, CA 92103-2143

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (760) 741-6645

Phone(619) 515-2545

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 21, 2016

Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1962953141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 98425

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 74722 (CA)

4094 4TH AVE, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Simone Clements Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688028061

PECOS Enrollment IDI20231004001032

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.

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.

ELENA HAPKE PT

Physical Therapist

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

JOEL FRANCIS TRAMBLEY MD

Internal Medicine

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

DR. JOE BENJAMIN FLORES MD

Family Medicine

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

DR. MICHAEL JOSEPH EVERTON M.D.

Radiology (Diagnostic Radiology)

4094 4TH AVE, SUITE 200, MC 0834
SAN DIEGO, CA 92103

San Diego County (312) 282-2638

KAYLA R TARRANT ASW

Social Worker (Clinical)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

JENNIFER SAGUN ASUNCION LCSW

Social Worker (Clinical)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

KAITLYN MAHONEY DPT

Physical Therapist

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2300

ERNEST SUNG KIM MD

Family Medicine (Sports Medicine)

4094 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 515-2545

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 Courtney Clements's NPI number?

The NPI number for Courtney Clements is 1962953141. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Where is Courtney Clements located?

Courtney Clements practices at 4094 4th Ave, San Diego, CA 92103. The listed phone number is (619) 515-2545.

What is Courtney Clements's specialty?

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

Is Courtney Clements enrolled in Medicare?

Yes. Courtney Clements is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Clements was last updated on September 7, 2023. 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.