Provider Demographics
NPI:1346532744
Name:MARCINOWSKI, MATEUSZ ADAM (LMHC)
Entity type:Individual
Prefix:MR
First Name:MATEUSZ
Middle Name:ADAM
Last Name:MARCINOWSKI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MAIN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3121
Mailing Address - Country:US
Mailing Address - Phone:413-853-9104
Mailing Address - Fax:
Practice Address - Street 1:28 MAIN ST UNIT 2
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3121
Practice Address - Country:US
Practice Address - Phone:413-853-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1300881Medicaid