Matthew M Clever, LPC, MA, CAADC
Individual provider Active NPI Professional Counselor · Derry, PA
NPI 1083350243 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1083350243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC014532 (PA)
- Practice address
- 308 W 6TH Ave
Derry, PA 15627-1356 - Phone
- (724) 889-3076
- NPI assigned
- May 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014532 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC014532 | PA | Yes |
Addresses
Primary practice location
308 W 6TH Ave
Derry, PA 15627-1356
Mailing address
308 W 6TH Ave
Derry, PA 15627-1356
Phone (724) 889-3076
Other providers in Derry, PA
- Jared Elijah Allison
- Timothy R Allison
- Brian Joseph Bobby
- Brianna Boliver
- Jessica Ann Brown
- Mishele Leigh Cowan
- Derry Area School District
- Paige Green
- Melissa Hackman
- Healing Hearts Mending Minds LLC
All providers in Derry, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.