MEDICARE: MRS. ALI-MARIE MURPHY MATTICE LCSW

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	24832	MD
2	1041C0700X	Clinical Social Worker	P016990	NC
3	1041C0700X	Clinical Social Worker	SW23590	FL
4	1041C0700X	Clinical Social Worker	C016338	NC

General Provider Information

NPI Number	:	1295493153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALI-MARIE MURPHY MATTICE LCSW

Provider Business Mailing Address
First Line	:	66 SIERRA LN
Second Line	:
City	:	CRAWFORDVILLE
State	:	FL
Zip	:	32327-1381
Country	:	US
Telephone Number	:	570-854-8532
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 SW MAYNARD RD STE 200
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-4472
Country	:	US
Telephone Number	:	570-854-8532
Fax Number	:

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

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	08/08/2025

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