Alicia Maria Matheson, LCSW
Social Worker, Clinical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1942881131
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1942881131
- Entity type
- Individual (NPI-1)
- Name
- Alicia Maria Matheson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW.09927236 | CO | Yes |
| 101YM0800X | Counselor, Mental Health | CSW.09927236 | CO |
Practice location
320 W Olive StFort Collins, CO 80521-2716
Phone 970-310-3406
Mailing address
4701 Strauss Cabin Rd Apt 6301Fort Collins, CO 80528-4684
Phone 970-495-6245
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