# MATT MACAULAY LICSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346955309
- **Authorized official:** MATT MACAULAY MACAULAY LICSW (OWNER)
- **Authorized official phone:** (802) 294-2983

## Contact information

- **Practice address:** 5 BANK ST, NORTH BENNINGTON, VT 05257-9102
- **Practice address phone:** (802) 294-2983
- **Mailing address:** 5 BANK ST, NORTH BENNINGTON, VT 05257-9102
- **Mailing address phone:** (802) 294-2983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2023
- **Last updated:** 01/14/2023