National Provider Identifier

Matthew Marco

Matthew Marco is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 831-1850.

NPI 1124684535Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1124684535
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 13, 2019
Last Updated
September 15, 2025

Practice Location

  • 100 Niagara St
  • Tonawanda, NY 14150-1104

Phone: (716) 831-1850

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1124684535
Entity Type
Individual
Last Name
Marco
First Name
Matthew
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
100 Niagara St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-1104
Practice Country
US
Practice Phone
(716) 831-1850
Enumeration Date
May 13, 2019
Last Updated
September 15, 2025
Sex
Male
Sole Proprietor
No
Certification Date
September 15, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)