Provider Demographics
NPI:1316165467
Name:CASHION, MATTHEW DAVID (LISW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:DAVID
Last Name:CASHION
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3457 PARK RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-1118
Mailing Address - Country:US
Mailing Address - Phone:575-571-7968
Mailing Address - Fax:575-526-9304
Practice Address - Street 1:1100 S SOLANO DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3852
Practice Address - Country:US
Practice Address - Phone:575-571-7968
Practice Address - Fax:575-526-9304
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-069911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical