Individual
MR. MATTHEW MAIN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-7106
(532) 968-4159
Mailing address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(532) 968-4159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992107631
—
NY
Enumeration date
09/17/2014
Last updated
03/03/2025
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