Matthew Patrick Langedyke, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60332233 Issued in WA

Practice address

19200 N Kelsey St
Monroe, WA 98272

Phone

(425) 316-5062

NPI assigned

Jan 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1174829899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 N KELSEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "425-316-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Pacific Ave., Ste 202",
            "address_2": "Group Health Cooperative",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98337",
            "country_code": "US",
            "telephone_number": "360-782-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Pacific Ave., Ste 202",
            "address_2": "Group Health Cooperative",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98337",
            "country_code": "US",
            "telephone_number": "360-782-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGEDYKE",
        "first_name": "MATTHEW",
        "middle_name": "PATRICK",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW6033223",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60332233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Lake Tye Emergency Physicians PLLC
• Deborah Marie Lambo, MA, LMHC
• Kelly Angela Landon, CPSST
• Ginger Lee Landry, LMP
• Caroline Lara, MA
• Midori K. Larrabee, M.D.
• Delia Ann Larry
• Christin Larue, M.S., LMHC
• Michael William Lawson, M.S. CCC-SLP

• Clinical Social Worker in Monroe, WA
• Providers in Monroe, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.