Matt Lundquist

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079146 Issued in NY

Legal business name

MATT LUNDQUIST

Practice address

79 Chambers St
2ND Floor
New York, NY 10007-1824

Phone

(212) 571-5799

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Matt Lundquist, LCSW

Title

Owner

Phone

(212) 571-5799

Specialties & licenses 1

Addresses

Other names 1

• TriBeCa Therapy Doing business as

Locations

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1104257443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CHAMBERS ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071824",
            "telephone_number": "212-571-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CHAMBERS ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071824",
            "telephone_number": "212-571-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT LUNDQUIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-571-5799",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TriBeCa Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiyoshi Matsuyama, MHC-LP
• Jun Matsuyoshi, LCSW
• Sara Matsuzaka
• Yukiko Matsuzaki, PT, DPT
• Matt Lee Acupuncture PC
• Kelley Elizabeth Matt, CRNA
• Susan Elizabeth Matt, L. AC.
• Diana Matta, DPM
• Edward J. Matta, MD
• Marissa Simona Matta, PHD, MHC-P, NCC, CRC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.