Active NPI
Annemarie Matula, LMSW
- Social Worker
- Schenectady, NY
National Provider Identifier
1114576527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 061875
- Practice address
- 125 Bigelow Ave
Schenectady, NY 12304-2832 - Phone
- (518) 292-5510
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 061875 | NY | Primary |
Addresses
Primary practice location
125 Bigelow Ave
Schenectady, NY 12304-2832
Mailing address
5A Foxfire LN
Glenmont, NY 12077-2978
Phone (518) 727-1932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061875 | Other | NY | LMSW |
Other names 1
- Annemarie Ferguson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 061875 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1114576527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5A FOXFIRE LN",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120772978",
"telephone_number": "518-727-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BIGELOW AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123042832",
"telephone_number": "518-292-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATULA",
"first_name": "ANNEMARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "061875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "061875",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNEMARIE",
"last_name": "FERGUSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.