Claire Alexis Clark, M.S.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1 S Penn SQ Ste 960
Philadelphia, PA 19107

Phone

(215) 873-2030

Fax

(855) 282-1285

NPI assigned

Aug 3, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Claire Alexis Herold Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1174879571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S PENN SQ STE 960",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073400",
            "telephone_number": "215-873-2030",
            "fax_number": "855-282-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PENN SQ STE 960",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-873-2030",
            "fax_number": "855-282-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 W El Camino Real Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402461",
            "country_code": "US",
            "telephone_number": "650-938-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CLAIRE",
        "middle_name": "ALEXIS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "HEROLD",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrienne Clark, MA
• Alex Clark
• Amy S Clark, MD
• Casmer Kisha Clark
• Christopher Clark, NP
• Cynthia Anne Clark, CRNP
• Derek Anthony Clark
• Fabienne A. Clark
• Irene Maria Clark, LCSW
• Jae H Clark, ATC, LAT

• Genetic Counselor (M.S.) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Genetic Counselor (M.S.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.