Provider Demographics
NPI:1386432706
Name:MATTHEWS, AIDEN (LMSW)
Entity type:Individual
Prefix:
First Name:AIDEN
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:ASHFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06278-2207
Mailing Address - Country:US
Mailing Address - Phone:860-573-6789
Mailing Address - Fax:
Practice Address - Street 1:207 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:ASHFORD
Practice Address - State:CT
Practice Address - Zip Code:06278-2207
Practice Address - Country:US
Practice Address - Phone:860-573-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8802101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health