Provider Demographics
NPI:1205710688
Name:MMT PLLC
Entity type:Organization
Organization Name:MMT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MCQUILKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LCSW-C, LCSW
Authorized Official - Phone:207-251-0411
Mailing Address - Street 1:4118 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1820
Mailing Address - Country:US
Mailing Address - Phone:207-251-0411
Mailing Address - Fax:
Practice Address - Street 1:731 8TH ST SE STE 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3886
Practice Address - Country:US
Practice Address - Phone:207-251-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty