Individual provider Active NPI

Marilyn E. McClam, MA, CCC-SLP

  • Speech-Language Pathologist
  • Florence, SC
National Provider Identifier
1245441484
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3191 Issued in SC
Practice address
201 W Evans St
Florence, SC 29501-3427
Phone
(843) 661-1897
NPI assigned
May 26, 2007
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3191 SC Primary

Addresses

Primary practice location

201 W Evans St
Florence, SC 29501-3427

Mailing address

PO Box 100547
Florence, SC 29502-0547
Phone (843) 661-1897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3191SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Francis Marion University Speech-Language Pathologist CurrentSince Nov 26, 2023 Accepting new patients

Locations

201 W Evans St
Florence, SC 29501
Phone (270) 557-6396

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1245441484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100547",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020547",
            "telephone_number": "843-661-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013427",
            "telephone_number": "843-661-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAM",
        "first_name": "MARILYN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.