Active NPI
Matthew Clark Pearce, MSW LCSW
- Clinical Social Worker
- Lake Mary, FL
National Provider Identifier
1235377698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9137
- Practice address
- 3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473 - Phone
- (407) 322-8018
- Fax
- (407) 322-8575
- NPI assigned
- Jan 22, 2009
- 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 | SW9137 | FL | Primary |
Addresses
Primary practice location
3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473
Mailing address
3525 W Lake Mary Blvd
Suite 307
Lake Mary, FL 32746-3473
Phone (407) 322-8018
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 |
|---|---|---|---|
| SW9137 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindred Counseling Services, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1235377698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 W LAKE MARY BLVD",
"address_2": "SUITE 307",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463473",
"telephone_number": "407-322-8018",
"fax_number": "407-322-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 W LAKE MARY BLVD",
"address_2": "SUITE 307",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463473",
"telephone_number": "407-322-8018",
"fax_number": "407-322-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "MATTHEW",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.