Active NPI
Gilberto Matta, LCSW-R
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1023220282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R024949-1
- Practice address
- 410 Winthrop Street
Kings County Hospital Ctr, Behavioral Health 'R' BLDG
Brooklyn, NY 11203 - Phone
- (718) 245-8807
- Fax
- (718) 245-2416
- NPI assigned
- May 3, 2007
- 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 | R024949-1 | NY | Primary |
Addresses
Primary practice location
410 Winthrop Street
Kings County Hospital Ctr, Behavioral Health 'R' BLDG
Brooklyn, NY 11203
Mailing address
410 Winthrop Street
Kings County Hospital Ctr, Behavioral Health 'R' BLDG
Brooklyn,, NY 11203
Phone (718) 245-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024949-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1023220282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 WINTHROP STREET",
"address_2": "KINGS COUNTY HOSPITAL CTR, BEHAVIORAL HEALTH 'R' BLDG",
"city": "BROOKLYN,",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-8807",
"fax_number": "718-245-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 WINTHROP STREET",
"address_2": "KINGS COUNTY HOSPITAL CTR, BEHAVIORAL HEALTH 'R' BLDG",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-8807",
"fax_number": "718-245-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "GILBERTO",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R024949-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.