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MATTHEW JON MCUMBER LCSW LADAC CADC II NPI 1851811780


NPI Information

NPI: 1851811780
Provider Name: MATTHEW JON MCUMBER, LCSW, LADAC, CADC II
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
3091 BATTLEFIELD PKWY
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 841-0500
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Matthew Jon Mcumber, LCSW, LADAC, CADC II is a clinical social worker in Fort Oglethorpe, GA with 11 years of experience. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Matthew Jon Mcumber, LCSW, LADAC, CADC II NPI is 1851811780. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3091 BATTLEFIELD PKWY
FORT OGLETHORPE, GA
ZIP 30742-003
Phone: (706) 841-0500
Fax: (423) 464-7512

The NPI 1851811780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 4/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1158TENNESSEENo
21041C0700XSocial WorkerClinical6110GEORGIAYes
31041C0700XSocial WorkerClinical6464TENNESSEENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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