MACAULAY, MATTHEW R.
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: 44SL05600900 (NJ) CW019470 (PA) SW129964 (PA) 089.0134176 (VT)
Sanctions and listings3
- Effective
- 20 Jan 2025
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesReinstated
- Effective
- 20 Jan 2025
Official designation
Pennsylvania DePartment of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 20 Jan 2025
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Positions held1
Period not retained
LCSW
Identifiers2
| Identifier | Number |
|---|---|
| ID number | CW019470 |
| NPI number | 1346706074 |
Other names2
Also known as2
Addresses3
129 EMERSON AVENUE, MIDDLESEX, NJ 08846
(NJ), (NJ)
NJ, NJ
United States
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