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Kirstie Marie Clemente

Physician β€’ Worcester, MA

Active NPI 1902108616 Individual Practitioner Female Practitioner
Practice location in NPPES

93 Epworth St
Worcester, MA 016103009

Call 7742627879 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

93 Epworth St

Worcester, MA 016103009

Telephone 7742627879

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-11
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 11, 2024

Registered at 93 EPWORTH ST, WORCESTER, MA 016103009 (Tel: 7742627879)

πŸ“
Updated Business Mailing Address April 11, 2024

Registered at 93 EPWORTH ST, WORCESTER, MA 016103009 (Tel: 7742627879)

πŸ‘€
Provider Name / Credentials Updated April 11, 2024

Recorded as KIRSTIE CLEMENTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2024

Community/Behavioral Health

βœ…
NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2015

Registered at 345A GREENWOOD ST STE B, WORCESTER, MA 016071753 (Tel: 5083630200)

πŸ“
Business Mailing Address (Initial Record) July 24, 2015

Registered at 345A GREENWOOD STREET, SUITE B, A., WORCESTER, MA 01607 (Tel: 5083630200)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2015

Recorded as KIRSTIE TARR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Developmental Therapist

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Initial NPI Registration & Enumeration December 01, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902108616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2010
Last Update: April 11, 2024
Sole Proprietor: Yes

Mailing Address

93 Epworth St

Worcester, MA 016103009

Phone: 7742627879

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.