Provider Demographics
NPI:1962418723
Name:MATTHEWS SOCIAL WORK SERVICES, INC.
Entity type:Organization
Organization Name:MATTHEWS SOCIAL WORK SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER / OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FOX
Authorized Official - Last Name:DE BUYS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:479-521-3641
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-0132
Mailing Address - Country:US
Mailing Address - Phone:479-582-9020
Mailing Address - Fax:479-582-9020
Practice Address - Street 1:111 E DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-3413
Practice Address - Country:US
Practice Address - Phone:479-582-9020
Practice Address - Fax:479-582-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S222Medicare ID - Type UnspecifiedMEDICARE #