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MR. MATTHEW SCOTT CLARK MS, LPC, NCC
NPI 1366030843
Counselor - Professional in Washington, DC

Active since January 09, 2021PECOS Enrolled
3029 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032(202) 948-7732 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Mar 19, 2021, Jan 9, 2021 (3 updates tracked since 2021).

About Mr. Matthew Scott Clark Ms, Lpc, Ncc NPPES

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

MR. MATTHEW SCOTT CLARK MS, LPC, NCC (NPI 1366030843) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (PRC15451) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other.

NPPES Registry Identity

NPI1366030843
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MATTHEW SCOTT CLARKCredential: MS, LPC, NCC
Location Address3029 MARTIN LUTHER KING JR AVE SEWashington, DC 20032-2506
Mailing Address800 P St Nw Apt 406Washington, DC 20001-3377 · (717) 379-2790
Phone(202) 948-7732
Sole ProprietorNo
Medical School CMSOther
Enumeration DateJanuary 9, 2021
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1366030843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in DC · PRC15451✔ Licensed in PA · PC011603
3029 MARTIN LUTHER KING JR AVE SE, Washington, DC 20032
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Secondary Practice Location 1

Location 1915 Rhode Island Ave NWWashington, DC 20001-4153 · Phone (202) 948-7732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Scott Clark Ms, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547743064
PECOS Enrollment IDI20260312003712
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DC DENTAL CENTER PC
Dentist (General Practice)
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 763-7824
MUDIWAH ABASHALOM KADESHE RN,IBCLC
Registered Nurse (Lactation Consultant)
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 476-4000
BETTAUJAWA ROBINSON
Case Manager/Care Coordinator
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 232-6100
GREGORY A MICKLES
Case Manager/Care Coordinator
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 232-6100
DAVANDRE MATTHEWS
Community Health Worker
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (443) 691-6016
URBAN BEHAVIORAL ASSOCIATES DC PLLC
Clinic/Center (Adolescent and Children Mental Health)
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 971-4051
VICTOR OLORUNJUWON AIYENUGBA
Case Manager/Care Coordinator
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 876-6593
MR. DARRYL MICHAEL JOHNSON
Peer Specialist
3029 MARTIN LUTHER KING JR AVE SE
WASHINGTON, DC 20032
District of Columbia (202) 914-9301

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 Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1366030843. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Matthew Clark located?

Matthew Clark practices at 3029 Martin Luther King Jr Ave SE, Washington, DC 20032. The listed phone number is (202) 948-7732.

What is Matthew Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Clark was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.