Kasimira Clark, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14225083 Issued in CA

Practice address

4020 Chicago Ave # 2083
Riverside, CA 92507-5340

Phone

(951) 534-9766

NPI assigned

Feb 1, 2021

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

Other names 1

• The Bridge SLP Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1619568615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 CHICAGO AVE # 2083",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "951-480-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CHICAGO AVE # 2083",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "951-534-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KASIMIRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14225083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THE BRIDGE",
            "last_name": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gary Michael Jesus Clark, CHW
• Isaiah Daniel Clark
• Jaclyn Clark
• Jacorey Clark
• John Patrick Clark
• Keely Marie Clark
• Lawrence Erwin Clark, MD
• Mikayla Clark
• Rodney Aaron Clark, RADTI
• Sherrell Clark

• Speech-Language Pathologist in Riverside, CA
• Providers in Riverside, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; 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.