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Active NPI 1508184946 Individual Practitioner Female Practitioner

Adeline Clark , LPC-S

Counselor - Professional • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Adeline Clark, LPC-S is a registered healthcare professional specializing in Counselor - Professional in Georgetown, TX. Practice services are available at 207 SUSANA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Susana Dr

Georgetown, TX 786288736

Telephone 4436212835

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
111 Specialists

Practicing in Georgetown, TX (21203 Statewide)

Telehealth Adoption Rate
1.8% 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

CMS Verified: 2020-12-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX LPCS70788

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
816700100 (MD)

Secondary Practice Locations

610 E Diamond Ave, Suite 100a

Gaithersburg, MD 208775321

Phone: 3018403200

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 28, 2020

Registered at 207 SUSANA DR, GEORGETOWN, TX 786288736 (Tel: 4436212835)

📍
Updated Business Mailing Address December 28, 2020

Registered at 207 SUSANA DR, GEORGETOWN, TX 786288736 (Tel: 4436212835)

👤
Provider Name / Credentials Updated December 28, 2020

Recorded as ADELINE CLARK, LPC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2020

Counselor (License #LPCS70788 in TX)

✅
NPI Profile Active May 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2010

Registered at 610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 208775321 (Tel: 3018403200)

📍
Updated Business Mailing Address May 10, 2010

Registered at 610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 208775321 (Tel: 3018403200)

👤
Provider Name / Credentials Updated May 10, 2010

Recorded as ADELINE CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2010

Counselor (License #LGP3490 in MD)

🟢
Initial NPI Registration & Enumeration May 10, 2010

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: 1508184946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2010
Last Update: December 28, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

207 Susana Dr

Georgetown, TX 786288736

Phone: 4436212835

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.