Jessica A Matyka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7817 Issued in CT

Practice address

883 Paddock Ave
Meriden, CT 06450-7044

Phone

(203) 634-7416

Fax

(203) 630-5335

NPI assigned

Sep 19, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.matyka@xdr.hhchealthdirect.org

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1013103571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 PADDOCK AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507044",
            "telephone_number": "203-634-7416",
            "fax_number": "203-630-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 PADDOCK AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507044",
            "telephone_number": "203-634-7416",
            "fax_number": "203-630-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYKA",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Masserman, M.D.
• David P Mastrantuone, RPH
• Isabelina Mateo
• Neethu Mathew, APRN FNP-BC
• Harvey E Matloff, D.D.S.
• Gina Maria Maurizio, CAC
• Felistas Mazhandu, APRN
• Barbara J Mazzara, APRN
• Emily Morgan McAtee, B.S.
• Laurie McBreen, LPC

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.