Provider Demographics
NPI:1023343829
Name:HUGHES, MATTHEW (LCSW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 WARWICK AVE
Mailing Address - Street 2:200
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-1525
Mailing Address - Country:US
Mailing Address - Phone:401-952-8188
Mailing Address - Fax:401-889-2180
Practice Address - Street 1:1643 WARWICK AVE
Practice Address - Street 2:200
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-1525
Practice Address - Country:US
Practice Address - Phone:401-952-8188
Practice Address - Fax:401-889-2180
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW012341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical