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NPI Code Detail

MEDICARE: MATTHEW ORPHANIDES LMSW

MEDICARE: MATTHEW ORPHANIDES LMSW
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
11041C0700XClinical Social WorkerLSW0000007151TN

General Provider Information

NPI Number : 1497179188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ORPHANIDES LMSW
Provider Business Mailing Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-1010
Provider Business Practice Location Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-642-0521
Fax Number : 731-642-1010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/08/2020

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Directions to “ MATTHEW ORPHANIDES LMSW” Practice Location

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