IndividualActive
Alicja Matusiak, LISW-S, CNP
NPI 1174757678 · Psychiatric/Mental Health Nurse Practitioner · Columbus, OH
Provider details
- NPI number
- 1174757678
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LISW-S, CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0800345 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone: (614) 371-2303
Fax: (800) 905-9950
Approximate (ZIP-level) locationGet directions
Mailing address
4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.