Jennifer Hyra Matthieu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003741 Issued in NC

Practice address

602 E Academy St
Suite 205
Fuquay Varina, NC 27526-2302

Phone

(919) 346-5357

Fax

(919) 346-5356

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duke University Affiliated Physicians, Inc.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1225073554
  NPD
• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD
• Kristin McArthur, MD, PLLC

  • Geriatric Psychiatry Physician
  • Cary, NC
  • NPI 1801398805
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1013020692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275920310",
            "telephone_number": "919-346-5357",
            "fax_number": "919-346-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E ACADEMY ST",
            "address_2": "SUITE 205",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262302",
            "telephone_number": "919-346-5357",
            "fax_number": "919-346-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIEU",
        "first_name": "JENNIFER",
        "middle_name": "HYRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latilia Martin
• Victoria Logan Martin
• Keisha Mineth Martinez Cartagena, PHARMD
• Julia Martinez
• Kara Mason, LCMHC
• Elianys Yoseli Mavares Rodriguez, DMD
• Andrew Richard May, O.D.
• Sydney Mayle, PHARM D
• Lauren McBean, M.S., CF-SLP
• Tarsha Medley McBride, RN

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.