Individual provider Active NPI

Dion Matriscino, L.C.S.W.

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1033414545
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4711 Issued in FL
Practice address
3600 Broadway Ste 11
West Palm Beach, FL 33407-4844
Phone
(561) 832-7007
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4711 FL Primary

Addresses

Primary practice location

3600 Broadway Ste 11
West Palm Beach, FL 33407-4844

Mailing address

3600 Broadway Ste 11
West Palm Beach, FL 33407-4844
Phone (561) 832-7007

Other identifiers 1

IdentifierTypeStateIssuer
677834800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000478 FL Practitioner - Clinical Social Worker 8628217015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Butler St
Suite 103
West Palm Beach, FL 33407-6036
Phone (561) 832-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW4711FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matriscino Associates,Inc. CurrentSince Apr 1, 2013 Accepting new patients

Locations

200 Butler St
Ste 103
West Palm Beach, FL 33407
Phone (561) 685-2344

3600 Broadway
Ste 11
West Palm Beach, FL 33407
Phone (561) 832-7007

2300 Palm Beach Lakes Blvd
Ste 210
West Palm Beach, FL 33409
Phone (561) 480-7557

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033414545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074844",
            "telephone_number": "561-832-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074844",
            "telephone_number": "561-832-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRISCINO",
        "first_name": "DION",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677834800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.