Active NPI
Valencya Clark
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1427420082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010921
- Practice address
- 115 E Melrose Ave
Baltimore, MD 21212-2945 - Phone
- (410) 435-9073
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010921 | MD | Primary |
Addresses
Primary practice location
115 E Melrose Ave
Baltimore, MD 21212-2945
Mailing address
115 E Melrose Ave
Baltimore, MD 21212-2945
Phone (410) 435-9073
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6451 N Charles St
Baltimore, MD 21212-1010
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08113 | MD | MD | Occupational Therapist |
| 010921 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab SLP MD LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Current | Accepting new patients |
Locations
11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Timonium, MD
- NPI 1306184924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1427420082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E MELROSE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122945",
"telephone_number": "410-435-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E MELROSE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122945",
"telephone_number": "410-435-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "VALENCYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "010921",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "9885 Greenbelt Rd",
"city": "Lanham",
"state": "MD",
"country_code": "US",
"postal_code": "207062302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.