MATTHEW MERRITT SHORE MSW, LICSW
NPI 1730431131
Social Worker - Clinical in Minneapolis, MN
NPI Status: Active since October 09, 2012
Contact Information
3001 HENNEPIN AVE
#2170
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 825-3440
Fax: (612) 827-2477
- Individual
- Male
- Social Worker
- Clinical
About MATTHEW SHORE
This page provides the complete NPI Profile along with additional information for Matthew Shore, a provider established in Minneapolis, Minnesota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1730431131 assigned on October 2012. The practitioner's primary taxonomy code is 1041C0700X with license number 21474-LICSW (MN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1730431131
- Provider Name
- MATTHEW MERRITT SHORE MSW, LICSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3001 HENNEPIN AVE #2170 MINNEAPOLIS, MN 55408
- Location Phone
- (612) 825-3440
- Location Fax
- (612) 827-2477
- Mailing Address
- 3001 HENNEPIN AVE #2170 MINNEAPOLIS, MN 55408
- Mailing Phone
- (612) 825-3440
- Mailing Fax
- (612) 827-2477
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-09-2012
- Last Update Date
- 10-09-2012
- Code Navigator
A clinical social worker like Matthew Shore is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 21474-LICSW
- License State
- MN
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 4 | 3 | 1 | 1 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 8 | 3 | 2 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 8 + 3 + 2 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1730431131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
VISIONWORKS, INC.
Eyewear Supplier
3001 HENNEPIN AVE
MINNEAPOLIS, MN
ZIP 55408
MOXIE INCORPORATED
Psychologist
(Clinical)
3001 HENNEPIN AVE
B301
MINNEAPOLIS, MN
ZIP 55408
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730431131, enumerated as an "individual" on October 09, 2012.
The provider is located at 3001 HENNEPIN AVE #2170 MINNEAPOLIS, MN 55408 and the phone number is (612) 825-3440.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
