# MR. MATTHEW VINSON

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

## Provider details

- **NPI number:** 1366713075
- **Gender:** Man
- **Credential:** MSW, LCSW, CADC III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 16-05-19 | OR | — |
| 1041C0700X | Clinical Social Worker | 7785 | OR | Yes |
| 1041C0700X | Clinical Social Worker | L7785 | OR | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |

## Other

- **Enumeration date:** 01/26/2012
- **Last updated:** 08/11/2019