Mr Dewey Truman Matherly, LCSW is a
Social Worker - Clinical based in Kings Mtn, North Carolina. Mr Dewey Truman Matherly is licensed to practice in North Carolina (license number C001231) and his current practice location is
151 Kings Crest Ct, Kings Mtn, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 730-8295.
NPI number for Mr Dewey Truman Matherly is 1306889761 and his current mailing address is 151 Kings Crest Ct, Kings Mtn, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306889761.
Healthcare Provider's Profile
| Full Name | Mr Dewey Truman Matherly |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 151 Kings Crest Ct, Kings Mtn, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306889761
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 01/25/2013
Medical Identifiers
Medical identifiers for Mr Dewey Truman Matherly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306889761 | NPI | - | NPPES |
| 6002095 | Medicaid | NC | |
| 54683 | Other | NC | BC/BS PIN NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | C001231 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C001231 (North Carolina) | Primary |
| 106H00000X | Marriage & Family Therapist | 408 (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dewey Truman Matherly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Dewey Truman Matherly, LCSW
151 Kings Crest Ct,
Kings Mtn, NC 28086-8218
Ph: (704) 730-8295 | Mr Dewey Truman Matherly, LCSW
151 Kings Crest Ct,
Kings Mtn, NC 28086-8218
Ph: (704) 730-8295 |
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