Matthew J Nutt is a Clinical in Bangor, Maine. Matthew J Nutt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew J Nutt is 1497856876. The last update date is 2021-05-05.
Matthew J Nutt's current location address is 175 Union St Ste C, Bangor, Maine. You can contact this provider via phone number 2074788645 and fax number 2075140726. The mailing address for Matthew J Nutt is 175 Union St Ste C, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Nutt |
|---|---|
| Address | 175 Union St Ste C, Bangor, Maine |
| Phone Number | 2074788645 |
| Fax Number | 2075140726 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497856876 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
| Address | 175 Union St Ste C |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44016100 |
| Phone Number | 2074788645 |
| Fax Number | 2075140726 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC7720 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Matthew J Nutt by the Centers for Medicare & Medicaid Services?
The Matthew J Nutt has been issued the NPI (National Provider Identifier) 1497856876, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew J Nutt?
The Matthew J Nutt is physically situated at 175 Union St Ste C, in the city of Bangor, state of ME, with the postal code 44016100.
What is Matthew J Nutt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew J Nutt's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Matthew J Nutt's 1497856876 issued?
The Matthew J Nutt's 1497856876 was issued on 2006-09-26.
As of what date were the Matthew J Nutt's details last updated?
The information pertaining to the Matthew J Nutt, including its address, specialty, and other details, was most recently updated on 2021-05-05.