Provider Demographics
NPI:1902819949
Name:DOYLE, MATTHEW G (LICSW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:G
Last Name:DOYLE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14 FOREST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-2147
Mailing Address - Country:US
Mailing Address - Phone:617-817-1377
Mailing Address - Fax:978-777-7116
Practice Address - Street 1:130 CENTRE ST STE 100
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1400
Practice Address - Country:US
Practice Address - Phone:978-578-9616
Practice Address - Fax:978-777-7116
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1121871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical