Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matt Havens, MSWLCSW, MSPA-C

Individual provider Clinical Social Worker · NPI 1992912216

Matt Havens, MSWLCSW, MSPA-C is a Physician Assistant in Bolivar, Missouri. Qualified in 2016, 10 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1300 N Oakland Ave Ste A
Bolivar, MO 65613-3018
Phone: (417) 326-7676
Fax: (417) 326-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 2005029085 (MO)

Record details

NPI number1992912216
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW , MSPA-C
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Bolivar