Active NPI
Clarice Everett, SLP
- Speech-Language Pathologist
- Grantsville, MD
National Provider Identifier
1447989389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09301
- Practice address
- 891 Dorsey Hotel Rd
Grantsville, MD 21536-1369 - Phone
- (301) 895-5194
- NPI assigned
- Jun 7, 2022
- Last updated
- Jun 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 09301 | MD | Primary |
Addresses
Primary practice location
891 Dorsey Hotel Rd
Grantsville, MD 21536-1369
Mailing address
PO Box 527
Fort Ashby, WV 26719-0527
Phone (301) 707-1704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09301 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1447989389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "FORT ASHBY",
"state": "WV",
"postal_code": "267190527",
"telephone_number": "301-707-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 DORSEY HOTEL RD",
"city": "GRANTSVILLE",
"state": "MD",
"postal_code": "215361369",
"telephone_number": "301-895-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "CLARICE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grantsville, MD
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- Tammy Crayton, CRNP
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- Terry E Dornburg, DDS
- Edmondson Dental Center for Maryland Public Health, Inc (Pampered Smiles Dental Day Spa (D.D.S.))
- F Daniel Jackson, MD, PA
- Goodwill Mennonite Home, Inc.
- Hollie Green, CRNP
- James Hall, MSN, RN, CRNI
- Harmony Tree Counseling and Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.