Individual provider Active NPI

Rachel Matthews, LCSW-C

  • Clinical Social Worker
  • Falling Waters, WV
National Provider Identifier
1063126183
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23031 Issued in MD
Practice address
185 Montreal Way
Falling Waters, WV 25419-0109
Phone
(240) 626-9138
NPI assigned
Jan 12, 2023
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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 23031 MD Primary

Addresses

Primary practice location

185 Montreal Way
Falling Waters, WV 25419-0109

Mailing address

100 Middletown Parkway, Unit 202 #774
Middletown, MD 21769-7767
Phone (240) 626-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231130001162 MD Practitioner - Clinical Social Worker 0244688356 Reassigns benefits to 1 organization
I20240510000115 DC Practitioner - Clinical Social Worker 0244688356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Middletown Pkwy
Unit 202
Middletown, MD 21769-7766

100 Middletown Pkwy
Unit 202
Middletown, MD 21769-7767
Phone (681) 242-3799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23031MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Splendid Sun Clinical CurrentSince Feb 24, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 17, 2024 Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Middletown Pkwy
Unit 202
Middletown, MD 21769
Phone (240) 934-0090

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1063126183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIDDLETOWN PARKWAY, UNIT 202 #774",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697767",
            "telephone_number": "240-626-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MONTREAL WAY",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254190109",
            "telephone_number": "240-626-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "RACHEL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falling Waters, WV

Sources for this page

Verify at the official NPI Registry.