Provider Demographics
NPI:1740610997
Name:MCGUIRE, MATTHEW TYLER (LISW)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:TYLER
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-366-8700
Mailing Address - Fax:614-685-3081
Practice Address - Street 1:3200 TREMONT RD
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-2040
Practice Address - Country:US
Practice Address - Phone:614-366-8700
Practice Address - Fax:614-685-3081
Is Sole Proprietor?:No
Enumeration Date:2013-11-24
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
I.1502439-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical