Active NPI
Cara Beth Glickman-Clarke, MA-CCC, SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1982901625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00001744
- Practice address
- 8057 Jones Ave NW
Seattle, WA 98117-4354 - Phone
- (206) 789-5656
- NPI assigned
- Feb 15, 2011
- 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 | LL00001744 | WA | Primary |
Addresses
Primary practice location
8057 Jones Ave NW
Seattle, WA 98117-4354
Mailing address
PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL00001744 | Other | WA | MEDICAL PROFESSIONAL LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1982901625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97115",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984970115",
"telephone_number": "253-588-7911",
"fax_number": "253-984-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8057 JONES AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981174354",
"telephone_number": "206-789-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN-CLARKE",
"first_name": "CARA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MA-CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00001744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROFESSIONAL LICENSE",
"identifier": "LL00001744",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.