Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538998620 Individual Practitioner Female Practitioner

Alicia Clark , MS, CCC-SLP

Speech-Language Pathologist • Madison, WV

Professional Overview & Biography Verified Profile Summary

Alicia Clark, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Madison, WV. Practice services are available at 701 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 Madison Ave

Madison, WV 251301669

Telephone 3043695719
Fax 3043692930
Associated Practice Facility / Clinic
🏢 Boone Memorial Hospital Facility NPI 1275596777

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Madison, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Madison, WV (1413 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

CMS Verified: 2024-07-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WV 1219

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License WV SLP-1219

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Robert Zickafoose , FNP-C

Nurse Practitioner

NPI 1003639865

Family Nurse Practitioner (Certified)

Kelli Canterbury , FNP-BC

Nurse Practitioner - Family

NPI 1023427283

Family Nurse Practitioner (Board Certified)

Juliana Rollo , FNP

Nurse Practitioner - Family

NPI 1083338875

Family Nurse Practitioner

Dr. Richard Mcneilly , DO, FCCP

Internal Medicine - Pulmonary Disease

NPI 1093087611

Doctor of Osteopathic Medicine (D.O.), FCCP

Brittany Griffith , FNP-BC

Nurse Practitioner - Family

NPI 1104464999

Family Nurse Practitioner (Board Certified)

Dr. Richard Knapp , MD

General Practice

NPI 1134407018

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2024

Registered at 701 MADISON AVE, MADISON, WV 251301669 (Tel: 3043695719)

📍
Updated Business Mailing Address July 29, 2024

Registered at 701 MADISON AVE, MADISON, WV 251301669 (Tel: 3043695719)

👤
Provider Name / Credentials Updated July 29, 2024

Recorded as ALICIA CLARK, MS/CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2024

Speech-Language Pathologist (License #SLP-1219 in WV)

🟢
Initial NPI Registration & Enumeration July 29, 2024

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: 1538998620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2024
Last Update: July 29, 2024
Sole Proprietor: No

Mailing Address

701 Madison Ave

Madison, WV 251301669

Phone: 3043695719

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.