Jennifer Sue Matuzeski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088027 Issued in MI

Practice address

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Phone

(616) 847-5330

Fax

(616) 847-5555

NPI assigned

Dec 22, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1114514304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 W WEDGEWOOD DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452468",
            "telephone_number": "231-670-3661",
            "fax_number": "616-847-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-847-5330",
            "fax_number": "616-847-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUZESKI",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Barnosky LLC
• Allison Marie Marshall
• Bradley A Martino, DO
• Hannah Claire Mathiot, LMSW
• Joseph Edward Matus, DC
• Jason Allan May, PA
• Abigail Mayhanagian, PT, DPT
• John MC Aree, MD
• Barbara Lynn McCormick, MSPT
• Lisa McGuire

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.