Individual
TAMMY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6849
SC
104100000X
Social Worker
Primary
6849
SC
1041C0700X
Clinical Social Worker
Primary
6849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6849
SC LLR
SC
Enumeration date
10/27/2015
Last updated
06/22/2026
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