Individual provider Active NPI

Matthew Glover, SOCIAL WORKER

  • Social Worker
  • Brookfield, OH
National Provider Identifier
1093573578
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1701598 Issued in OH
Practice address
7529 Warren Sharon Rd
Brookfield, OH 44403-9796
Phone
(740) 415-1138
NPI assigned
Mar 11, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 S.1701598 OH Primary

Addresses

Primary practice location

7529 Warren Sharon Rd
Brookfield, OH 44403-9796

Mailing address

844 Valley View Dr
Brookfield, OH 44403-9654
Phone (724) 456-2191

Other practice location 1

2567 Niles Vienna Rd
Niles, OH 44446-5401
Phone (330) 652-6745

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1701598OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora-Recovery, LLC CurrentSince Aug 18, 2024 Accepting new patients
Aurora-Recovery, LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

7529 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 619-5030

Organizations & group practices 2

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1093573578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 VALLEY VIEW DR",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039654",
            "telephone_number": "724-456-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 WARREN SHARON RD",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039796",
            "telephone_number": "740-415-1138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2567 Niles Vienna Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "OH",
            "postal_code": "444465401",
            "country_code": "US",
            "telephone_number": "330-652-6745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MATTHEW",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.