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General NPI Number Information
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NPI Number | 1952886335
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Entity Type | Individual
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Provider Name | MATTHEW MICHAEL NORDIN LICSW
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Gender | Male
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 2120 1ST AVE N STE B5
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City | SEATTLE
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State | WA
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Zip | 98109-2301
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Country | US
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Telephone | 206-333-2343
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Fax | 206-848-1329
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Provider Business Mailing Address
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Address Line | 2120 1ST AVE N STE B5
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City | SEATTLE
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State | WA
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Zip | 98109-2301
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Country | US
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Telephone | 206-333-2343
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Fax | 206-848-1329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61253437
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License Number State | WA
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