SCOTT SHIGEJI MATSUURA LCSW 85567 - NPI 1467644849 - Social Worker in Sebastopol, CA

Q: What is Scott Matsuura's NPI number?

The NPI number for Scott Matsuura is 1467644849. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Scott Matsuura's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Scott Matsuura was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Scott Shigeji Matsuura Lcsw 85567 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT SHIGEJI MATSUURA LCSW 85567 (NPI 1467644849) is an individual clinical provider in Sebastopol, California, licensed in California (85567) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1467644849

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSCOTT SHIGEJI MATSUURACredential: LCSW 85567

Location Address1800 GRAVENSTEIN HWY NSebastopol, CA 95472-2607

Mailing Address1800 Gravenstein Hwy NSebastopol, CA 95472-2607 · (707) 823-7300 · Fax (707) 445-1802

Phone(707) 823-7300

Fax(707) 823-3410

Sole ProprietorNo

Enumeration DateAugust 9, 2007

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1467644849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 85567

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X

1800 GRAVENSTEIN HWY N, Sebastopol, CA 95472

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIA GOLDEN-BYRD

Social Worker (Clinical)