Provider Demographics
NPI:1902982614
Name:STELLA, MATTHEW ARRE (LICSW)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:ARRE
Last Name:STELLA
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3818
Mailing Address - Country:US
Mailing Address - Phone:617-820-7110
Mailing Address - Fax:
Practice Address - Street 1:30 CHURCH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3714
Practice Address - Country:US
Practice Address - Phone:617-820-7110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4971402-35021041C0700X
MA1158181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical