Individual
MATTHEW COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
3284 IVANHOE AVE, SAINT LOUIS, MO 63139-2200
(314) 435-3408
Mailing address
3284 IVANHOE AVE, SAINT LOUIS, MO 63139-2200
(314) 435-3408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002002749
MO
1041C0700X
Clinical Social Worker
6801114925
MI
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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