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ALICIA MARY CLARK
NPI 1497434740
Speech-Language Pathologist in Fort Myers, FL

Active since July 13, 2023Accepts Medicare Assignment
15800 BEACH WALK BLVD STE 1001, FORT MYERS, FL 33908(239) 349-3769 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia Mary Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA MARY CLARK (NPI 1497434740) is an individual speech-language pathologist provider in Fort Myers, Florida, licensed in Florida (SA3674) and active in the NPI registry since July 2023. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1497434740
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALICIA MARY CLARK
Location Address15800 BEACH WALK BLVD STE 1001Fort Myers, FL 33908-3388
Mailing Address14721 Eden StFort Myers, FL 33908-1642 · (239) 834-7245
Phone(239) 349-3769
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1497434740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA3674
Definition
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.
15800 BEACH WALK BLVD STE 1001, Fort Myers, FL 33908
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Other Names 1

Former Name (1)Alicia Mary Rubino Msccc/slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Mary Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931562972
PECOS Enrollment IDI20230824000435

Medicare Billing Reassignment

Medicare enrollment records show Alicia Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services, Inc
115 mi
Physical Therapist
17470 BROOKSIDE TRACE CT
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group
NPI 1336535988 (813) 443-5042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Clark's NPI number?

The NPI number for Alicia Clark is 1497434740. It was assigned to this individual provider in the NPPES registry on July 13, 2023. The provider is also known as Alicia Mary Rubino Msccc/Slp.

Where is Alicia Clark located?

Alicia Clark practices at 15800 Beach Walk Blvd Ste 1001, Fort Myers, FL 33908. The listed phone number is (239) 349-3769.

What is Alicia Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Alicia Clark enrolled in Medicare?

Yes. Alicia Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alicia Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Clark reassigns Medicare benefits to Legacy Healthcare Services, Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Clark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Alicia Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Clark was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.