Individual provider Active NPI

Matthew Anthony Roselli, M.S.W., LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1164800538
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
85734 Issued in CA
Practice address
4860 Y St Ste 2700
Sacramento, CA 95817-2309
Phone
(916) 734-7246
NPI assigned
May 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118973 MA
Clinical Social Worker 1041C0700X 85734 CA Primary

Addresses

Primary practice location

4860 Y St Ste 2700
Sacramento, CA 95817-2309

Mailing address

4860 Y St Ste 2700
Sacramento, CA 95817-2309
Phone (916) 734-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190131003189 CA Practitioner - Clinical Social Worker 1557679487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1535 River Park Dr
Sacramento, CA 95815-4601

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2657

4860 Y St
Sacramento, CA 95817-2307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Dec 8, 2018 Accepting new patients
Regents of the University of Ca CurrentSince Feb 9, 2025 Accepting new patients
Regents of the University of California CurrentSince Feb 9, 2025 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Dec 8, 2018 Accepting new patients

Locations

1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 2700
Sacramento, CA 95817
Phone (916) 734-6688

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1164800538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172309",
            "telephone_number": "916-734-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172309",
            "telephone_number": "916-734-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLI",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.S.W., LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118973",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.