Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW BANACH, LCSW
Active Sole ProprietorMATTHEW BANACH, LCSW is a Clinical Social Worker healthcare provider located in FOUNTAIN, Colorado. NPI 1891255253 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FOUNTAIN, CO
Registration Details
- NPI Number
- 1891255253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2019 (7.3863510522668 yrs)
- Last Updated
- Aug 6, 2024
- License
-
CSW.09925288 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 S MAIN STFOUNTAIN, CO, 808172215Browse CO providers · Browse ZIP 80817
- Phone
- 7192174609
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FOUNTAIN, CO
| Name | Credential | NPI |
|---|---|---|
| AMANDA GABRIELLE KACENA | — | 1447571807 |
| ANDREA DARLENE RATCLIFF | LCSW | 1760738348 |
| NADINE LEONARD | LCSW | 1780217695 |
| KAREN R DAUGHERTY | — | 1164131918 |
| KELSEA GUTKNECHT | LCSW | 1376371096 |
| BRENDA MICHELLE MAY | CSW | 1295681773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.