Green, Matthew

Green, Matthew is an individual health care provider with primary practice located at 34 Lincoln St , Newton Highlands MA 02461-1507. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Green, Matthew can be contacted via phone (617) 964-1060.

Contact Information

Primary practice address
34 Lincoln St Newton Highlands MA 02461-1507
Phone: (617) 964-1060
Fax: (617) 630-0381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 249 Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 249 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 249 Massachusetts

Profile Details

NPI number 1629143839
LBN Legal business name Green, Matthew
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629143839 NPPES
Massachusetts Other 012651 VALUE OPTIONS
Massachusetts Other 773192 VALUE OPTIONS
Massachusetts MEDICAID 1892398 VALUE OPTIONS
Massachusetts Other LM0129 VALUE OPTIONS

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