Active NPIIndividual providerSole proprietor

Mr. Gerald J Matison, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1922188598
Practice location
2 Dundee Park Dr, Andover, MA 01810-3735
Fax
978-499-0822
Last updated
July 8, 2007

Gerald Joseph Matison is a Social Worker, Clinical based in Andover, MA. Gerald Joseph Matison practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Gerald Joseph Matison is 1922188598 and holds a License No. 105016 (MA). The current practice location address for Gerald Joseph Matison is 2 Dundee Park Dr, Andover, MA 01810-3735 and can be reached out via phone at 978-475-6950 and via fax at 978-499-0822.

Provider Profile Details

NPI Number
1922188598
Provider Name
Gerald Joseph Matison
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
2 Dundee Park Dr, Andover, MA 01810-3735
Phone Number
978-475-6950
Fax Number
978-499-0822
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Dundee Park Dr
Andover, MA 01810-3735
Zip
01810-3735
Phone Number
978-475-6950
Fax Number
978-499-0822
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
2 Dundee Park Dr
Andover, MA 01810-3735
City
Andover
State
MA
Zip
01810-3735
Phone Number
978-475-6950
Fax Number
978-499-0822

License Information

License Number (1)
105016
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
0600
License State (2)
NH
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Andover, MA

View all Social Worker, Clinical providers in Andover →

Frequently Asked Questions

What is the NPI number of Mr. Gerald J Matison, LICSW?

The NPI number of Mr. Gerald J Matison, LICSW is 1922188598. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald J Matison, LICSW?

Mr. Gerald J Matison, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105016.

Where does Mr. Gerald J Matison, LICSW practice?

The practice location is 2 Dundee Park Dr, Andover, MA 01810-3735. The office can be reached at 978-475-6950 (phone) or 978-499-0822 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922188598 directly on the NPPES registry website.

Browse related providers