MADELINE GRACE CLARK
NPI 1568179299
Speech-Language Pathologist in Brookeland, TX

Q: What is Madeline Clark's NPI number?

The NPI number for Madeline Clark is 1568179299. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Q: What is Madeline Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madeline Clark was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since November 02, 2022

3989 FM 1007, BROOKELAND, TX 75931(936) 332-3298 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Nov 2, 2022 (2 updates tracked since 2022).

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About Madeline Grace Clark NPPES

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

MADELINE GRACE CLARK (NPI 1568179299) is an individual speech-language pathologist provider in Brookeland, Texas, licensed in Texas (123565) and active in the NPI registry since November 2022. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1568179299

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMADELINE GRACE CLARK

Location Address3989 FM 1007Brookeland, TX 75931-4673

Mailing Address3989 Fm 1007Brookeland, TX 75931-4673 · (936) 332-3298

Phone(936) 332-3298

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 2, 2022

Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1568179299 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 TX · 123565

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.

3989 FM 1007, Brookeland, TX 75931

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Grace Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890276372

PECOS Enrollment IDI20260223002780

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 Madeline Clark's NPI number?

The NPI number for Madeline Clark is 1568179299. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Madeline Clark located?

Madeline Clark practices at 3989 Fm 1007, Brookeland, TX 75931. The listed phone number is (936) 332-3298.

What is Madeline Clark's specialty?

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

Is Madeline Clark enrolled in Medicare?

Yes. Madeline Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Clark was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.