Nancy Clancy, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1696 Issued in MA

Practice address

South Bay Community Services
142 Warren St
Lowell, MA 01852

Phone

(978) 452-1739

NPI assigned

Jul 2, 2019

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

Electronic endpoints 1

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1942862727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BOUCHARD AVE",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262205",
            "telephone_number": "508-954-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH BAY COMMUNITY SERVICES",
            "address_2": "142 WARREN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-452-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "NANCY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancyclancy@southbaycommunityservices.com",
            "affiliation": "N",
            "endpointDescription": "work email contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "South Bay Community Services",
            "address_2": "142 Warren St",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018522208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Circle Home, Inc.
• Circle Home, Inc.
• Ian Cissel
• City of Lowell
• City of Lowell
• John J. Clarity, D.P.M.
• Alexandria Faith Clark
• Elizabeth Ashley Clark
• Kathryn Louise Clark, RD LDN
• Sarah Clark

• Speech-Language Pathologist in Lowell, MA
• Providers in Lowell, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.