Organization Active NPI

Matthew Scheuer LCSW PLLC

  • Clinical Social Worker
  • Tully, NY
National Provider Identifier
1104541044
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MATTHEW SCHEUER LCSW PLLC
Practice address
1615 Sky High Rd
Tully, NY 13159-3267
Phone
(315) 427-2528
NPI assigned
Oct 4, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Matthew Scheuer, LCSWNPI 1285130146
Title
Member
Phone
(315) 427-2528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

1615 Sky High Rd
Tully, NY 13159-3267

Mailing address

1615 Sky High Rd
Tully, NY 13159-3267
Phone (315) 427-2528

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2022.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1104541044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SKY HIGH RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131593267",
            "telephone_number": "315-427-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SKY HIGH RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131593267",
            "telephone_number": "315-427-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SCHEUER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHEUER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-427-2528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tully, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.