Individual
MATTHEW MCIVER
Active
Individual
MATTHEW MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC19802
ME
1041C0700X
Clinical Social Worker
Primary
LW61246149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC19802
LICENSED CLINICAL SOCIAL WORKER
ME
01
—
LW61246149
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
WA
Enumeration date
11/13/2018
Last updated
09/11/2024
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