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Individual
MATTHEW WILLNER
Active
Individual
MATTHEW WILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116462
NY
1041C0700X
Clinical Social Worker
Primary
102742
NY
1041C0700X
Clinical Social Worker
44SC06674300
NJ
1041C0700X
Clinical Social Worker
CSW.09933219
CO
Other
Enumeration date
06/21/2022
Last updated
07/09/2026
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