Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184865024 Individual Practitioner Female Practitioner

Lisa Clark Smith , MA CCC, SLP

Speech-Language Pathologist • Clemson, SC

Professional Overview & Biography Verified Profile Summary

Lisa Smith, MA CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Clemson, SC. Practice services are available at 108 SHADOWOOD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Shadowood Rd

Clemson, SC 296311914

Telephone 8646539757

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clemson, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Clemson, SC (3202 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License SC 2264

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SAO659 (SC)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2009

Registered at 108 SHADOWOOD RD, CLEMSON, SC 296311914 (Tel: 8646539757)

📍
Updated Business Mailing Address March 23, 2009

Registered at 108 SHADOWOOD RD, CLEMSON, SC 296311914 (Tel: 8646539757)

👤
Provider Name / Credentials Updated March 23, 2009

Recorded as LISA SMITH, M.A. CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2009

Speech-Language Pathologist (License #2264 in SC)

🟢
Initial NPI Registration & Enumeration March 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184865024
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2009
Last Update: March 23, 2009
Sole Proprietor: Yes

Mailing Address

108 Shadowood Rd

Clemson, SC 296311914

Phone: 8646539757

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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