Active NPI
Lynn Cleversley, M.S
- Speech-Language Pathologist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202011084
- Practice address
- 3520 Evangeline St
Norfolk, VA 23502-3107 - Phone
- (716) 393-7404
- NPI assigned
- May 9, 2023
- Last updated
- Feb 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202011084 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | SZ10782 | FL |
Addresses
Primary practice location
3520 Evangeline St
Norfolk, VA 23502-3107
Mailing address
3520 Evangeline St
Norfolk, VA 23502-3107
Phone (716) 393-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4225 Shore Dr
Virginia Beach, VA 23455-2870
Phone (757) 464-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10782 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| JP Therapy, LLC | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Organizations & group practices 3
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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1740820828
Speech-Language Pathologist
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1427748029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 EVANGELINE ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023107",
"telephone_number": "716-393-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 EVANGELINE ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023107",
"telephone_number": "716-393-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVERSLEY",
"first_name": "LYNN",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011084",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10782",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.