MEDICARE: MATTHEW HODGKIN LPC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316441603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW HODGKIN LPC

Provider Business Mailing Address
First Line	:	861 CHERRY ST APT 13
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4021
Country	:	US
Telephone Number	:	207-899-7354
Fax Number	:

Provider Business Practice Location Address
First Line	:	861 CHERRY ST APT 13
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4021
Country	:	US
Telephone Number	:	207-899-7354
Fax Number	:

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

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	12/04/2025

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