Individual provider Active NPI

Matthew Pearce

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1174976120
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20162 Issued in FL
Practice address
5150 Bayou Blvd
Suite 1N
Pensacola, FL 32503-2158
Phone
(850) 416-7656
NPI assigned
Jul 14, 2016
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 20162 FL Primary

Addresses

Primary practice location

5150 Bayou Blvd
Suite 1N
Pensacola, FL 32503-2158

Mailing address

205 Shell Ave SE BLDG a
Fort Walton Beach, FL 32548-5808
Phone (850) 833-3975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221221001474 FL Practitioner - Clinical Social Worker 1456721182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20162FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Center, Inc CurrentSince Dec 14, 2022 Accepting new patients
Bridgeway Center Inc CurrentSince Dec 14, 2022 Accepting new patients
Bridgeway Center, Inc CurrentSince Oct 30, 2022 Accepting new patients
Bridgeway Center Inc PastSince Sep 28, 2025 Accepting new patients
Sacred Heart Health System, Inc. PastSince Jul 25, 2021 Accepting new patients

Locations

299 W Railroad Ave
Crestview, FL 32536
Phone (850) 689-7810

205 Shell Ave SE
Bldg A
Fort Walton Beach, FL 32548

137 Hospital Dr NE
Ft Walton Bch, FL 32548
Phone (850) 226-8857

205 Shell Ave SE
Ft Walton Bch, FL 32548
Phone (850) 226-8585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1174976120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SHELL AVE SE BLDG A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485808",
            "telephone_number": "850-833-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BAYOU BLVD",
            "address_2": "SUITE 1N",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032158",
            "telephone_number": "850-416-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.