Swanhart, Matthew Richard
Swanhart, Matthew Richard is an sole proprietor health care provider with primary practice located at 3388 Canyon Falls Dr , Green Cove Springs FL 32043-9228. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Swanhart, Matthew Richard can be contacted via phone (904) 214-6445.Contact Information
Primary practice address
3388 Canyon Falls Dr
Green Cove Springs FL 32043-9228
Phone: (904) 214-6445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11070 | Florida |
Profile Details
| NPI number | 1043786080 |
|---|---|
| LBN Legal business name | Swanhart, Matthew Richard |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043786080 | NPPES |
| Florida | Other | 11070 | LCSW |
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