| Clover Psychological Association | |
|
2722 Wilmington Rd New Castle PA 16105-1241 | |
| (724) 658-9398 | |
| (724) 656-1429 |
| Full Name | Clover Psychological Association |
|---|---|
| Speciality | Psychologist |
| Location | 2722 Wilmington Rd, New Castle, Pennsylvania |
| Authorized Official Name and Position | Cathy L. Clover (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7246589398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Psychological Association 2722 Wilmington Rd New Castle PA 16105-1241 Ph: (724) 658-9398 | Clover Psychological Association 2722 Wilmington Rd New Castle PA 16105-1241 Ph: (724) 658-9398 |
| NPI Number | 1124182134 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 8123464864 |
|---|---|
| Medicare Enrollment ID | O20240315002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124182134 | NPI | - | NPPES |
| 1308035 | Other | PA | HIGHMARK |
| IG-027786 | Other | PA | MAGELLAN |
| 1727016 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-005964-L (Pennsylvania) | Primary |
| Provider Name | Lance Swaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528233368 PECOS PAC ID: 0749626406 Enrollment ID: I20240315003101 |
| Provider Name | Celeste E Howells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255838405 PECOS PAC ID: 4385081082 Enrollment ID: I20240318000820 |
| Provider Name | Tanya Beth Stahlman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427427533 PECOS PAC ID: 5092152140 Enrollment ID: I20240325001998 |
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