Provider Demographics
NPI:1346608403
Name:CASTINE, MATTHEW MURPHY (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:MURPHY
Last Name:CASTINE
Suffix:
Gender:M
Credentials:LICENSED CLINICAL SO
Other - Prefix:MR
Other - First Name:MATTHEW
Other - Middle Name:MURPHY
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED MASTER SOCI
Mailing Address - Street 1:1801 SIXTH AVENUE (SAMARITAN HOSPITAL PROS)
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180
Mailing Address - Country:US
Mailing Address - Phone:518-271-1122
Mailing Address - Fax:518-271-1791
Practice Address - Street 1:1801 SIXTH AVENUE (SAMARITAN HOSPITAL PROS)
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180
Practice Address - Country:US
Practice Address - Phone:518-271-1122
Practice Address - Fax:518-271-1791
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0882071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical