Provider Demographics
NPI:1235018276
Name:ARIEL CLEMENTI LLC
Entity type:Organization
Organization Name:ARIEL CLEMENTI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SOCIALWORKER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENTI
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-518-5766
Mailing Address - Street 1:1999 N AMIDON AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2123
Mailing Address - Country:US
Mailing Address - Phone:316-518-5766
Mailing Address - Fax:
Practice Address - Street 1:1999 N AMIDON AVE STE 208
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2123
Practice Address - Country:US
Practice Address - Phone:316-518-5766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty