Individual provider Active NPI

Margarita E Matamoros, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1194273052
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15548 Issued in MD
Practice address
10215 Fernwood Rd
Ste 630
Bethesda, MD 20817-1106
Phone
(240) 449-3094
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15548 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Ste 630
Bethesda, MD 20817-1106

Mailing address

512 Carousel CT
Gaithersburg, MD 20877-3486
Phone (301) 367-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20161019000063 DC Practitioner - Clinical Social Worker 3971891276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apostle Group LLCGroup PAC ID 4385964170, 4 clinicians

Practice addresses (Care Compare)

19401 Walter Johnson Rd
Suite 200
Germantown, MD 20874-2601
Phone (240) 335-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apostle Group LLC CurrentSince Sep 1, 2016 Accepting new patients
Apostle Group LLC Clinical CurrentSince Sep 1, 2016 Accepting new patients

Locations

10215 Fernwood Rd
Ste 630
Bethesda, MD 20817
Phone (301) 664-9601

19401 Walter Johnson Rd
Ste 200
Germantown, MD 20874
Phone (240) 335-2247

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1194273052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CAROUSEL CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773486",
            "telephone_number": "301-367-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 630",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "240-449-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMOROS",
        "first_name": "MARGARITA",
        "middle_name": "E",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.