Matthew Boltz LCSW, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MATTHEW BOLTZ LCSW, PLLC

Practice address

505 W Melrose St Apt 401
Chicago, IL 60657-3726

Phone

(312) 985-6023

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Boltz, LCSWNPI 1033740055

Title

Owner/Manager

Phone

(630) 479-9640

Specialties & licenses 1

Addresses

Practitioners 1

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

• Matthew Gregory Boltz

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1033740055
  NPD Authorized official

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1154059624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W MELROSE ST APT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573726",
            "telephone_number": "630-479-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W MELROSE ST APT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573726",
            "telephone_number": "312-985-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW BOLTZ LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BOLTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "630-479-9640",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Matta
• Emily Mattaliano, RDN
• Nancy Ann Mattei, OTR
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• John Blair Mattes, DDS
• Matthew Degroot O.D. P.C.
• Matthew Frantz, LCPC, LLC
• Matthew J Koscica MD PLLC
• Matthew Tunney Nutrition LLC
• Matthew Vail LCSW PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.