Provider Demographics
NPI:1386014322
Name:CHECINSKI, MATTHEW (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:CHECINSKI
Suffix:
Gender:M
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SYCAMORE AVE STE 3D
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1242
Mailing Address - Country:US
Mailing Address - Phone:201-290-3473
Mailing Address - Fax:732-450-0012
Practice Address - Street 1:44 SYCAMORE AVE STE 3D
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1242
Practice Address - Country:US
Practice Address - Phone:201-290-3473
Practice Address - Fax:732-450-0012
Is Sole Proprietor?:No
Enumeration Date:2015-10-02
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00733400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional