Matthew Joseph Bartolotti, LSCW
Individual provider Active NPI Clinical Social Worker · Gresham, OR
NPI 1013063643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013063643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L3716 (OR)
- Practice address
- 400 NE 7TH St
Gresham, OR 97030-5604 - Phone
- (503) 489-2236
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3716 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L3716 | OR | Yes |
Addresses
Primary practice location
400 NE 7TH St
Gresham, OR 97030-5604
Mailing address
5527 SE 54TH Ave
Portland, OR 97206-5659
Phone (503) 860-9406
Other providers in Gresham, OR
- Summer Barraza
- Kimberly Barrientos-Sandoval
- Lisa Barrow
- Adam Randall Bartling
- Karen E Bartling
- Sara ER Bates
- Leanne Marie Batzko
- Maria Baumgarden
- Alexander Bautista
- Gina Marjorie Bawden
All providers in Gresham, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.