Nicole Elaine Clarke, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05627 Issued in MD

Practice address

1814 Fallstaff CT
Eldersburg, MD 21784-6274

Phone

(410) 795-3781

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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

• Clarke Speech Therapy, LLC

  • Speech-Language Pathologist
  • Sykesville, MD
  • NPI 1215896592
  NPD Authorized official
• Clarke Communication Services

  • Hearing and Speech Clinic/Center
  • Eldersburg, MD
  • NPI 1447624598
  NPD (past) Authorized official
• Sykesville Speech Therapy

  • Speech-Language Pathologist
  • Sykesville, MD
  • NPI 1497344113
  NPD (past) Authorized official

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1255687828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FALLSTAFF CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846274",
            "telephone_number": "410-795-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 FALLSTAFF CT",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846274",
            "telephone_number": "410-795-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NICOLE",
        "middle_name": "ELAINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Urology Associates P.a.
• Choice Medical Supply Company
• Helen Ritchie Ciampoli, DC
• Matthew Clark
• Clarke Communication Services
• Andrew Cole, CRNP-PMH
• Lisa Kay Colona, LCPC
• Stefani Comer, LGPC
• Common Wealth Group Homes Corporation
• Congruent Counseling Services LLC

• Speech-Language Pathologist in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.