Matthew Merritt Shore MSW, LICSW

  • NPI 1730431131
According to our database, the NPI number for Matthew Merritt Shore MSW, LICSW is 1730431131 and activated since 11 years ago. Matthew Merritt Shore MSW, LICSW is an individual provider who specializes in Clinical, and the primary practice location is 3001 Hennepin Ave, Minneapolis, MN 55408. You can also contact Matthew Merritt Shore MSW, LICSW via telephone number is (612) 825-3440. Provider NPI information was last updated on 10/09/2012.

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Overview of Matthew Merritt Shore MSW, LICSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/09/2012
  • Last updated: 10/09/2012

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 21474-LICSW
  • License State: MN

Provider Mailing Address

  • Address: 3001 Hennepin Ave
    #2170
    Minneapolis, MN 55408
  • Phone: 612-825-3440
  • Fax: 612-827-2477

Provider Practice Location

  • Address: 3001 Hennepin Ave
    #2170
    Minneapolis, MN 55408
  • Phone: 612-825-3440
  • Fax: 612-827-2477

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 21474-LICS
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Matthew Merritt Shore MSW, LICSW?
  • A: The npi number for Matthew Merritt Shore MSW, LICSW is 1730431131.
  • Q: What are Matthew Merritt Shore MSW, LICSW's specialties?
  • A: Matthew Merritt Shore MSW, LICSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Matthew Merritt Shore MSW, LICSW?
  • A: The medical license number for Matthew Merritt Shore MSW, LICSW is 21474-LICSW and issued in MN in USA.
  • Q: Where is Matthew Merritt Shore MSW, LICSW practice location?
  • A: Matthew Merritt Shore MSW, LICSW is practicing at 3001 Hennepin Ave, Minneapolis, MN 55408.
  • Q: How to contact Matthew Merritt Shore MSW, LICSW?
  • A: You can contact Matthew Merritt Shore MSW, LICSW via 612-825-3440.