Matthew Banach, LCSW
Matthew Banach, LCSW is a Clinical Social Worker in Fountain, Colorado. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.
- Years since qualifying
- 12
- Licensed in
- CO
- In the registry since
- 2019
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
105 S Main StFountain, CO 80817-2215
Phone: (719) 217-4609
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CSW.09925288 (CO) |
|---|
Record details
| NPI number | 1891255253 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2019 |
| Last updated in NPPES | August 6, 2024 |
| Certification date | August 6, 2024 |
| Mailing address | 105 S Main St, Fountain, CO 80817-2215 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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