Kimberly Reed Matias, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

610 W Hays St
Boise, ID 83702-5511

Phone

(208) 381-7070

Fax

(208) 381-7092

NPI assigned

Dec 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1073759049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025511",
            "telephone_number": "208-381-7070",
            "fax_number": "208-381-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W HAYS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025511",
            "telephone_number": "208-381-7070",
            "fax_number": "208-381-7092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Robbins Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024539",
            "country_code": "US",
            "telephone_number": "208-489-5880",
            "fax_number": "208-658-9820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "KIMBERLY",
        "middle_name": "REED",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-33136",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LMSW-29187",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Jo Mathews, BCBA
• Saphrona Kim Mathews
• Brent Burtis Mathieu, N.D.
• Emily Mathis, LMT
• Jesse Allegra Mathis, LPC
• Richard Steven Matkin, LMFT
• Gayle Matsumuro
• Stephanie Matta, PHARMD
• Victorie Dawn Mattei, LPC, CRC
• Matter and Spirit Counseling Services, LLC

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.