Individual
MR. LANCE LEE MATTHEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1557 LA CIENEGUITA, SANTA FE, NM 87507-5658
(505) 819-8210
Mailing address
1557 LA CIENEGUITA, SANTA FE, NM 87507-5658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11102
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2026-0124
NM
Other
Enumeration date
08/08/2019
Last updated
03/09/2026
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