Matthews, Michelle M

Matthews, Michelle M is an sole proprietor health care provider with primary practice located at 4109 67Th St , Kenosha WI 53142-3836. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Matthews, Michelle M can be contacted via phone (262) 652-9830.

Contact Information

Primary practice address
4109 67Th St Kenosha WI 53142-3836
Phone: (262) 652-9830
Fax: (262) 652-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7334-123 Wisconsin

Profile Details

NPI number 1528100641
LBN Legal business name Matthews, Michelle M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Aug 20th, 2015 - about 10 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 1528100641 NPPES
Wisconsin MEDICAID 43739800

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