Matt Macaulay Licsw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MATT MACAULAY LICSW LLC

Practice address

5 Bank St
North Bennington, VT 05257-9102

Phone

(802) 294-2983

NPI assigned

Jan 13, 2023

Last updated

Jan 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matt Macaulay Macaulay, LICSW

Title

Owner

Phone

(802) 294-2983

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1346955309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BANK ST",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579102",
            "telephone_number": "802-294-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BANK ST",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579102",
            "telephone_number": "802-294-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Elm St",
            "address_purpose": "LOCATION",
            "city": "North Bennington",
            "state": "VT",
            "postal_code": "052579196",
            "country_code": "US",
            "telephone_number": "802-294-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATT MACAULAY LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "MACAULAY",
        "authorized_official_first_name": "MATT MACAULAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-294-2983",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Bennington, VT
• Providers in North Bennington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.