Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scott Shigeji Matsuura, LCSW85567

Individual provider Counselor · NPI 1467644849

Scott Shigeji Matsuura, LCSW85567 is a Counselor in Sebastopol, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone: (707) 823-7300
Fax: (707) 823-3410
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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 85567 (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1467644849
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW85567
Sole proprietorNo
NPI enumeratedAugust 9, 2007
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

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