Individual provider Active NPI

Matthew Verghese, LCSW, MFT

  • Clinical Social Worker
  • Huntingdon, PA
National Provider Identifier
1952462095
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013758 Issued in PA
Practice address
727 Welsh Road Suite 202
Philmont Guidance Center
Huntingdon, PA 19006
Phone
(215) 914-2119
Fax
(215) 914-1663
NPI assigned
Dec 13, 2006
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013758 PA Primary

Addresses

Primary practice location

727 Welsh Road Suite 202
Philmont Guidance Center
Huntingdon, PA 19006

Mailing address

727 Welsh Road Suite 202
Philmont Guidance Center
Huntingdon, PA 19006
Phone (215) 914-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013758PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services PastSince Aug 8, 2021 Accepting new patients
Psycare Solutions Inc Clinical PastSince Jan 1, 2008 Accepting new patients
Philmont Guidance Center, P.C. PastSince Jan 8, 1998 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1952462095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WELSH ROAD SUITE 202",
            "address_2": "PHILMONT GUIDANCE CENTER",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-914-2119",
            "fax_number": "215-914-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WELSH ROAD SUITE 202",
            "address_2": "PHILMONT GUIDANCE CENTER",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-914-2119",
            "fax_number": "215-914-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGHESE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW, MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.