Provider Demographics
NPI:1578546982
Name:MATTHEWS, CLARE BRADY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLARE
Middle Name:BRADY
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1417
Mailing Address - Country:US
Mailing Address - Phone:540-459-4946
Mailing Address - Fax:540-459-4970
Practice Address - Street 1:227 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1451
Practice Address - Country:US
Practice Address - Phone:540-335-1254
Practice Address - Fax:540-459-4970
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040053931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical