MEDICARE: CLOVE COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093514580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOVE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	4300 COMMERCE CT STE 318
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-3698
Country	:	US
Telephone Number	:	331-701-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 COMMERCE CT STE 318
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-3698
Country	:	US
Telephone Number	:	331-701-7930
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CANDACE LOVE
Credential	:
Telephone Number	:	831-524-2917

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	04/21/2026

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