Organization Active NPI

Elizabeth Farrah Matthews PLLC

  • Social Worker
  • Tucson, AZ
National Provider Identifier
1154497139
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW11711 Issued in AZ
Legal business name
ELIZABETH FARRAH MATTHEWS PLLC
Practice address
1200 N El Dorado Place
Suite 800
Tucson, AZ 85715
Phone
(520) 331-3389
Fax
(520) 305-3279
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Mrs. Elizabeth Farrah MatthewsNPI 1295926798
Title
LCSW
Phone
(520) 331-3389

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LCSW11711 AZ Primary

Addresses

Primary practice location

1200 N El Dorado Place
Suite 800
Tucson, AZ 85715

Mailing address

1200 N El Dorado Place
Suite 800
Tucson, AZ 85715
Phone (520) 331-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000020 AZ Part B Supplier - Clinic/Group Practice 4789776881 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1200 N El Dorado Pl
Ste 800
Tucson, AZ 85715
Phone (520) 290-4533

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1154497139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PLACE",
            "address_2": "SUITE 800",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-331-3389",
            "fax_number": "520-305-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PLACE",
            "address_2": "SUITE 800",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85715",
            "telephone_number": "520-331-3389",
            "fax_number": "520-305-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH FARRAH MATTHEWS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FARRAH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "520-331-3389",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW11711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.