Provider Demographics
NPI:1316817943
Name:CHASE, MATTHEW (LSW, MSW)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:CHASE
Suffix:
Gender:M
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 E PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5209
Mailing Address - Country:US
Mailing Address - Phone:724-808-6742
Mailing Address - Fax:
Practice Address - Street 1:467 E PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5209
Practice Address - Country:US
Practice Address - Phone:724-808-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health