Individual
MATTHEW DAVID INGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1 KENTON DR STE 200, CHARLESTON, WV 25311-1256
(304) 513-3495
Mailing address
3375 US 60, HUNTINGTON, WV 25705
(304) 525-7851
(304) 525-1504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00945822
WV
1041C0700X
Clinical Social Worker
BP00945822
WV
Other
Enumeration date
12/22/2022
Last updated
03/29/2025
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