Individual provider · Type 1 NPI

Matthew Christopher Bryan, LCSW

Clinical Social Worker · Santa Teresa, NM

NPI number 1679184147 Active

Practice location

185 Osprey Ct
Santa Teresa, NM 88008-9502

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2022-0411 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679184147

Matthew Christopher Bryan, LCSW's National Provider Identifier is 1679184147, issued on Aug 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Teresa, NM. The record was last updated on Sep 29, 2026.