MEDICARE: SCOTT CLEVENSTINE

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	101YM0800X	Mental Health Counselor		PA

General Provider Information

NPI Number	:	1821951583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT CLEVENSTINE

Provider Business Mailing Address
First Line	:	3392 PIN OAK LN
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-3400
Country	:	US
Telephone Number	:	215-527-6716
Fax Number	:

Provider Business Practice Location Address
First Line	:	1398 PAGE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15233-2007
Country	:	US
Telephone Number	:	412-323-3950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ SCOTT CLEVENSTINE ” Practice Location

Language	Start Address	Practice Location

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