MEDICARE: MR. MATTHEW SCOTT HARWOOD L.C.S.W.

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	1041C0700X	Clinical Social Worker	17911	CA

General Provider Information

NPI Number	:	1093981748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW SCOTT HARWOOD L.C.S.W.

Provider Business Mailing Address
First Line	:	1895 N AVENUE 52
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1020
Country	:	US
Telephone Number	:	323-552-8709
Fax Number	:	213-201-1392

Provider Business Practice Location Address
First Line	:	1895 N AVENUE 52
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1020
Country	:	US
Telephone Number	:	323-552-8709
Fax Number	:	213-201-1392

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

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	05/02/2008

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