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NPI Code Detail

MEDICARE: MATTHEW CHET NAPLES LMSW

MEDICARE:   MATTHEW CHET NAPLES  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
1104100000XSocial WorkerLMSW-42214ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205574266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CHET NAPLES LMSW
Provider Business Mailing Address
First Line : 6208 N PARK MEADOW WAY APT 203
Second Line :
City : BOISE
State : ID
Zip : 83713-1657
Country : US
Telephone Number : 609-273-8754
Fax Number :
Provider Business Practice Location Address
First Line : 1993 E 8TH N
Second Line :
City : MOUNTAIN HOME
State : ID
Zip : 83647-2326
Country : US
Telephone Number : 208-587-7626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 05/20/2022

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Directions to “ MATTHEW CHET NAPLES LMSW” Practice Location

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