Individual provider · Type 1 NPI

Matthew L. Fetrow

Clinical Social Worker · Pearland, TX

NPI number 1689274763 Active

Practice location

3408 Westminister St
Pearland, TX 77581-4844

Mailing address

N1547 Overlook Dr
Genoa City, WI 53128-1592

Other practice locations

  • 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 · (224) 610-4938
  • N1547 Overlook Dr, Genoa City, WI 53128-1592 · (346) 812-1372

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700X12567-123 (WI)
Clinical Social Worker Primary 1041C0700X149.023548 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1689274763

Matthew L. Fetrow's National Provider Identifier is 1689274763, issued on Oct 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pearland, TX. The record was last updated on Apr 3, 2026.