Provider Demographics
NPI:1346532744
Name:MARCINOWSKI, MATEUSZ ADAM (LMHC)
Entity type:Individual
Prefix:MR
First Name:MATEUSZ
Middle Name:ADAM
Last Name:MARCINOWSKI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
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Mailing Address - Street 1:48 N. PLEASANT ST
Mailing Address - Street 2:STE 207
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002
Mailing Address - Country:US
Mailing Address - Phone:413-200-8024
Mailing Address - Fax:413-726-6001
Practice Address - Street 1:48 N. PLEASANT ST
Practice Address - Street 2:STE 207
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002
Practice Address - Country:US
Practice Address - Phone:413-200-8024
Practice Address - Fax:413-726-6001
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1300881Medicaid