Individual provider Active NPI

Matthew Morris-Wood

  • Social Worker
  • Moodus, CT
National Provider Identifier
1083092993
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
32 William F Palmer Rd Ste 102
Moodus, CT 06469-1131
Phone
(860) 222-9247
NPI assigned
May 12, 2015
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 NU Primary

Addresses

Primary practice location

32 William F Palmer Rd Ste 102
Moodus, CT 06469-1131

Mailing address

PO Box 289
East Haddam, CT 06423-0289
Phone (904) 955-0660

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Counseling and Wellness PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

32 William F Palmer Rd
Ste 102
Moodus, CT 06469
Phone (860) 222-9247

2813 S Hiawassee Rd
Ste 207
Orlando, FL 32835
Phone (321) 331-7810

Interoperability endpoints

  • Direct secure messaging: matthew.morris-woodlcsw@direct.mybaycare.org

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, 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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1083092993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "EAST HADDAM",
            "state": "CT",
            "postal_code": "064230289",
            "telephone_number": "904-955-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WILLIAM F PALMER RD STE 102",
            "city": "MOODUS",
            "state": "CT",
            "postal_code": "064691131",
            "telephone_number": "860-222-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS-WOOD",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moodus, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.