Matilde Massana Stone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000686 Issued in MO

Practice address

1707 N Mount Auburn Rd
Suite K
Cape Girardeau, MO 63701-2169

Phone

(573) 335-0570

Fax

(573) 335-8559

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Personal Solutions, LLC

  • Clinical Social Worker
  • Cape Girardeau, MO
  • NPI 1912067398
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194891028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N MOUNT AUBURN RD",
            "address_2": "SUITE K",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012169",
            "telephone_number": "573-335-0570",
            "fax_number": "573-335-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N MOUNT AUBURN RD",
            "address_2": "SUITE K",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012169",
            "telephone_number": "573-335-0570",
            "fax_number": "573-335-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MATILDE",
        "middle_name": "MASSANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000686",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498251701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen W Stigers, M.D.
• Harold William Stites III, MD
• Willeford J. Stoecker, MD
• Hugh Elbert Stone Sr., MSW, LCSW
• Mackenzie Mae Stone
• Angel Michelle Stoner, PTA
• Brandy N Storck, MS CCC-SLP/L
• Beverly Gore Stott, M.A., L.P.C.
• Lena Stovall, COTA
• Kylie N Stoverink, PTA

• Clinical Social Worker in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.