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NPI Code Detail

MEDICARE: MATTHEW SWIES LSW, LICDC

MEDICARE:   MATTHEW  SWIES  LSW, LICDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor151231OH
21041C0700XClinical Social WorkerS1430062OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1151231OTHEROHCHEMICAL DEPENDENCY COUNSELOR
2S1430062OTHEROHSOCIAL WORKER

General Provider Information

NPI Number : 1225499981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW SWIES LSW, LICDC
Provider Business Mailing Address
First Line : 765 PIERCE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2425
Country : US
Telephone Number : 614-223-1650
Fax Number : 844-268-7323
Provider Business Practice Location Address
First Line : 765 PIERCE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43223-2425
Country : US
Telephone Number : 614-223-1650
Fax Number : 844-268-7323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2016
Last Update Date : 03/09/2016

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Directions to “ MATTHEW SWIES LSW, LICDC” Practice Location

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