National Provider Identifier
Matthew A Tice, LCSW
Matthew A Tice, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 892-4354.
Profile Overview
- NPI
- 1841804713
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 08, 2020
- Last Updated
- September 08, 2020
Practice Location
- 50 Wyoming Ave
- Buffalo, NY 14215-4022
Phone: (716) 892-4354
Mailing Address
- 184 Barton St
- Buffalo, NY 14213-1573
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1841804713
- Entity Type
- Individual
- Last Name
- Tice
- First Name
- Matthew
- Middle Name
- A
- Credential
- LCSW
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (267) 592-5711
- Practice Street Address
- 50 Wyoming Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-4022
- Practice Country
- US
- Practice Phone
- (716) 892-4354
- Enumeration Date
- September 08, 2020
- Last Updated
- September 08, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)