Active NPI
Matthew Lutz
- Clinical Social Worker
- Winchester, CA
National Provider Identifier
1225611825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92969
- Practice address
- 31889 Via del Paso
Winchester, CA 92596-8603 - Phone
- (502) 500-8419
- NPI assigned
- Apr 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 92969 | CA | Primary |
Addresses
Primary practice location
31889 Via del Paso
Winchester, CA 92596-8603
Mailing address
31889 Via del Paso
Winchester, CA 92596-8603
Phone (502) 500-8419
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | CPRS | Health Information Exchange (HIE) | Dep. veterans Affairs |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92969 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1225611825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31889 VIA DEL PASO",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968603",
"telephone_number": "502-500-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31889 VIA DEL PASO",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968603",
"telephone_number": "502-500-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92969",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "CPRS",
"affiliation": "Y",
"endpointDescription": "VA",
"affiliationName": "Dep. veterans Affairs",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "31889 Via Del Paso",
"city": "Winchester",
"state": "CA",
"country_code": "US",
"postal_code": "925968603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winchester, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.