Active NPI
Matthew Francis Wilson, LCSW
- Clinical Social Worker
- Pittsburgh, PA
National Provider Identifier
1003472853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020460
- Practice address
- 417 Gettysburg St Ste 200
Pittsburgh, PA 15206-4529 - Phone
- (412) 712-2863
- NPI assigned
- May 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW020460 | PA | Primary |
Addresses
Primary practice location
417 Gettysburg St Ste 200
Pittsburgh, PA 15206-4529
Mailing address
850 Heberton St
Pittsburgh, PA 15206-2263
Phone (412) 712-2863
Other practice location 1
412 E Commons
Pittsburgh, PA 15212-5310
Phone (412) 323-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612000629 | PA | Practitioner - Clinical Social Worker | 7214260991 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
907 W St
RM 213
Pittsburgh, PA 15221-2838
Phone (412) 254-4130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Life Center Corporation | Current | Accepting new patients | |
| Mercy Life Center Corp | Current | Accepting new patients |
Locations
412 E Commons
Pittsburgh, PA 15212
Phone (412) 323-4500
1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1073883161
-
- Public Health or Welfare Agency
- Pittsburgh, PA
- NPI 1720075104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1003472853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HEBERTON ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152062263",
"telephone_number": "412-712-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 GETTYSBURG ST STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064529",
"telephone_number": "412-712-2863"
}
],
"practiceLocations": [
{
"address_1": "412 E Commons",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152125310",
"country_code": "US",
"telephone_number": "412-323-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MATTHEW",
"middle_name": "FRANCIS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.