Individual provider Active NPI

Matthew Van Maastricht, MSW

  • Social Worker
  • Rensselaer, NY
National Provider Identifier
1033924782
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
126053-01 Issued in NY
Practice address
516 Washington Ave
Rensselaer, NY 12144-1440
Phone
(518) 299-9840
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 126053-01 NY Primary

Addresses

Primary practice location

516 Washington Ave
Rensselaer, NY 12144-1440

Mailing address

127 Lincoln Ave
Altamont, NY 12009-9019
Phone (518) 723-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250825002786 NY Practitioner - Clinical Social Worker 9638679533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

127 Lincoln Ave
Altamont, NY 12009-9019

620 Washington Ave
Rensselaer, NY 12144-1362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126053-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Door Licensed Clinical Social Work, PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

620 Washington Ave
Ste 1
Rensselaer, NY 12144
Phone (518) 252-7073

620 Washington Ave
Rensselaer, NY 12144
Phone (518) 210-2486

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1033924782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LINCOLN AVE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120099019",
            "telephone_number": "518-723-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WASHINGTON AVE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441440",
            "telephone_number": "518-299-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MAASTRICHT",
        "first_name": "MATTHEW",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "126053-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.