# MRS. ALICJA MATUSIAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174757678
- **Gender:** F
- **Credential:** LISW-S, CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0800345 | OH | — |
| 163WH0200X | Home Health Registered Nurse | 359101 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.16032 | OH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | COA.16032-NP | OH | — |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 04/08/2025