Provider Demographics
NPI:1760539365
Name:LAUNER, MATTHEW R (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:R
Last Name:LAUNER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:MATTHEW
Other - Middle Name:ROBERT
Other - Last Name:LAUNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:4000 BLUE RIDGE RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4650
Mailing Address - Country:US
Mailing Address - Phone:919-788-9778
Mailing Address - Fax:919-881-2123
Practice Address - Street 1:4000 BLUE RIDGE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4650
Practice Address - Country:US
Practice Address - Phone:919-788-9778
Practice Address - Fax:919-881-2123
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0029991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical