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

Michelle M Matthews, LCSW

Individual provider Clinical Social Worker · NPI 1528100641

Michelle M Matthews, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Qualified in 2002, 24 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2007
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

4109 67th St
Kenosha, WI 53142-3836
Phone: (262) 652-9830
Fax: (262) 652-2931
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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 7334-123 (WI)

Record details

NPI number1528100641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 20, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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