Matthew R Carter, MSW, CSW INTERN
Individual provider Active NPI Mental Health Counselor · Ely, NV
NPI 1043860588 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1043860588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1675 Avenue F
Ely, NV 89301-3500 - Phone
- (775) 296-2441
- Fax
- (775) 289-1699
- NPI assigned
- Sep 17, 2019
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1675 Avenue F
Ely, NV 89301-3500
Mailing address
1675 Avenue F
Ely, NV 89301-3500
Phone (775) 296-2441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IC-1456 | Other | NV | CLINICAL SOCIAL WORKER INTERN |
Other providers in Ely, NV
- Casey Ann-Taylor Brewer
- Donna Lynn Bunch
- Roxanne G Bybee
- David Byun
- Amy Campbell
- Casey Brewer, LCSW, LLC
- Jodie Lynn Chlouber
- City of Ely
- Teresa Lynne Clark
- Weslianne Coble
All providers in Ely, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. 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.