Matthew Louis Pearlman, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.110175 Issued in IL

Practice address

5906 Elaine Dr
Rockford, IL 61108-2467

Phone

(779) 210-3453

NPI assigned

Mar 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Creek Counseling LLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1144941394
  Medicare reassignment NPD
• Strategic Steps Counseling, PLLC

  • Clinical Social Worker
  • Sterling, IL
  • NPI 1275401689
  NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1083473979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 ELAINE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 ELAINE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082467",
            "telephone_number": "779-210-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.110175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Carolina Pavon-Cardenas
• Rachel Pawlowski, OTR/L
• Peak Medical Home Care Inc.
• Peak Personnel, Inc.
• Pearle Vision Inc
• Pearson Vision Care, SC
• Charles D Pearson, O.D.
• Drew W Pearson, APN
• James Henry Peck, BC-HIS
• Tracy Barrett Peck, P.T.

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.