Individual provider Active NPI

Amanda L Matlee, MSW LSW

  • Social Worker
  • Washington, NJ
National Provider Identifier
1063691756
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05445600 Issued in NJ
Practice address
492 Route 57 West
Family Guidance Center of Warren County
Washington, NJ 07882-1420
Phone
(908) 689-1000
Fax
(908) 689-4529
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 44SL05445600 NJ Primary

Addresses

Primary practice location

492 Route 57 West
Family Guidance Center of Warren County
Washington, NJ 07882-1420

Mailing address

330 Pursel Street
Phillipsburg, NJ 08865-3435
Phone (908) 619-1601

Other names 1

  • Ms. Amanda L Matovsky Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05445600NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1063691756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PURSEL STREET",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653435",
            "telephone_number": "908-619-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 WEST",
            "address_2": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821420",
            "telephone_number": "908-689-1000",
            "fax_number": "908-689-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLEE",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05445600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MATOVSKY",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.