Active NPI
Matthew James Horrocks
- Social Worker
- Watertown, NY
National Provider Identifier
1053003665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 650 State Street
Watertown, NY 13601-2839 - Phone
- (315) 755-1251
- Fax
- (315) 291-6601
- NPI assigned
- May 23, 2023
- Last updated
- Jun 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
650 State Street
Watertown, NY 13601-2839
Mailing address
PO Box 608
Malone, NY 12953-0608
Phone (518) 483-1251
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Advocates, Inc | Current | Accepting new patients | |
| Children's Home of Jefferson County | Past | Accepting new patients | |
| Children's Home of Jefferson County | Past | Accepting new patients |
Locations
650 State St
Watertown, NY 13601
Phone (315) 755-1251
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Star Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Malone, NY
- NPI 1780619064
-
- Community/Behavioral Health Agency
- Watertown, NY
- NPI 1538455696
-
- Case Management Agency
- Watertown, NY
- NPI 1770625527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1053003665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "MALONE",
"state": "NY",
"postal_code": "129530608",
"telephone_number": "518-483-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 STATE STREET",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012839",
"telephone_number": "315-755-1251",
"fax_number": "315-291-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORROCKS",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2024-06-04",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.