Active NPI
Mathew Ryan Evans, LCSW
- Clinical Social Worker
- Butte, MT
National Provider Identifier
1295496396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-LIC-51524
- Practice address
- 107 E Granite St Ste B
Butte, MT 59701-9327 - Phone
- (208) 610-6549
- NPI assigned
- Jan 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-LIC-51524 | MT | Primary |
Addresses
Primary practice location
107 E Granite St Ste B
Butte, MT 59701-9327
Mailing address
1945 Utah Ave
Butte, MT 59701-5335
Phone (208) 610-6543
Other practice location 1
65 E Broadway St
Butte, MT 59701-9305
Phone (208) 610-6549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-LIC-51524 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1295496396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 UTAH AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597015335",
"telephone_number": "208-610-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E GRANITE ST STE B",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019327",
"telephone_number": "208-610-6549"
}
],
"practiceLocations": [
{
"address_1": "65 E Broadway St",
"address_purpose": "LOCATION",
"city": "Butte",
"state": "MT",
"postal_code": "597019305",
"country_code": "US",
"telephone_number": "208-610-6549",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "MATHEW",
"middle_name": "RYAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-02",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "LCSW-LIC-51524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
- Dawn M English, LCSW AND LCPC
- Samantha Mikayla Enloe, OTD, OTR/L
- Epiphany Dermatology of Montana, PLLC
- Jaden Howard Erwin, DDS, MSD
- Emily Evans, LCSW
- Evergreen at Butte, L.L.C. (Evergreen Butte Health and REhabilitation Center)
- Constance Marie Everly, RPH
- Jennifer Evers, LCSW
- Express Care
- Express Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.