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NPI Code Detail

MEDICARE: MATTHEWS SOCIAL WORK SERVICES, INC.

MEDICARE: MATTHEWS SOCIAL WORK SERVICES, INC.
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1962418723
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATTHEWS SOCIAL WORK SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 132
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-0132
Country : US
Telephone Number : 479-582-9020
Fax Number : 479-582-9020
Provider Business Practice Location Address
First Line : 111 E DAVIDSON ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72701-3413
Country : US
Telephone Number : 479-582-9020
Fax Number : 479-582-9020
Authorized Official
Title or Position : TREASURER / OFFICE MANAGER
Name : MR. MICHAEL FOX DE BUYS
Credential : B.S.
Telephone Number : 479-521-3641
Provider Enumeration Date : 08/01/2006
Last Update Date : 08/22/2020

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Directions to “MATTHEWS SOCIAL WORK SERVICES, INC. ” Practice Location

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