Individual provider Active NPI

Barbara Matchette, LCSW

  • Clinical Social Worker
  • Marion, IN
National Provider Identifier
1144350299
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003686A Issued in IN
Practice address
5230 S Western Ave
Marion, IN 46953-5778
Phone
(765) 674-2208
Fax
(765) 674-3273
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34003686A IN Primary

Addresses

Primary practice location

5230 S Western Ave
Marion, IN 46953-5778

Mailing address

5230 S Western Ave
Marion, IN 46953-5778
Phone (765) 674-2208

Other identifiers 3

IdentifierTypeStateIssuer
000000351972OtherINBLUE CROSS BLUE SHIELD
5533023OtherINAETNA
488768000OtherINMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000365 IN Practitioner - Clinical Social Worker 8921279936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians

Practice addresses (Care Compare)

306 E Maumee St
Cameron Medical Office Building
Angola, IN 46703-2038
Phone (260) 667-5335

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc CurrentSince Aug 1, 2019 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

306 E Maumee St
Ofc
Angola, IN 46703
Phone (260) 667-5335

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1144350299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535778",
            "telephone_number": "765-674-2208",
            "fax_number": "765-674-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535778",
            "telephone_number": "765-674-2208",
            "fax_number": "765-674-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCHETTE",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003686A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000351972",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5533023",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "488768000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.