Most Relevant Information
Provider Data
| NPI Number: | 1003573478 |
| Provider Name: | MATTHEW MCNERNEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2021 |
| Last Updated: | 12/16/2021 |
Provider Practice Location
1067 PRESCOTT BLVD
DELTONA
FL
327386715
Practice Location Phone/Fax
| Phone: | 3865661847 |
| Fax: |
Provider Mailing Location
1067 PRESCOTT BLVD
DELTONA
FL
327386715
Provider Mailing Phone/Fax
| Phone: | 3865661847 |
| Fax: |