Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan A Matthew Jr., LCSW

Individual provider Clinical Social Worker · NPI 1245977768

Ivan A Matthew Jr., LCSW is a Clinical Social Worker in Rochester, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

223 Mystic Ln
Rochester, NY 14623-5448
Phone: (585) 576-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 360 Wellington Ave, Rochester, NY 14619-1210 — (585) 358-0512
  • 223 Mystic Ln, Rochester, NY 14623-5448 — (585) 576-4830

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084938 (NY)

Record details

NPI number1245977768
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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