Individual provider · Type 1 NPI

Matthew Banach, LCSW

Clinical Social Worker · Fountain, CO

NPI number 1891255253 Active

Practice location

105 S Main St
Fountain, CO 80817-2215

Call (719) 217-4609 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09925288 (CO)

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 1891255253

Matthew Banach, LCSW's National Provider Identifier is 1891255253, issued on Mar 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fountain, CO. The record was last updated on Aug 6, 2024.