Matthew Victor White, LMSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10601 Issued in CT

Practice address

37 Camp Moween Rd
Lebanon, CT 06249-2704

Phone

(860) 447-1717

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Council on Alcoholism and Drug Dependence Inc

  dba SCADD Inc

  • Substance Abuse Rehabilitation Facility
  • Lebanon, CT
  • NPI 1003960022
  NPD (past)
• Southeastern Council on Alcoholism and Drug Dependence Inc

  dba Scadd

  • Primary Care Clinic/Center
  • New London, CT
  • NPI 1750256806
  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1760293344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ROPE FERRY RD UNIT E96",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852887",
            "telephone_number": "860-271-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CAMP MOWEEN RD",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062492704",
            "telephone_number": "860-447-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MATTHEW",
        "middle_name": "VICTOR",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "10601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Tope, PSY.D
• Paul Trubey, M.S.W.
• Victoria F Tuttle
• Paula Upton, LPC-A
• Cynthia A. White, MS,LPCA
• Ann Elizabeth Wohlforth

• Addiction (Substance Use Disorder) Counselor in Lebanon, CT
• Providers in Lebanon, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.