Matthew Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11940 Jollyville Rd Ste 110South
Austin, TX 78759-2327

Phone

(512) 735-8020

NPI assigned

Jul 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Matt Smith Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shalom AustinGroup PAC ID 0749361921, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.smith.1@33027.direct.athenahealth.com

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.

• Shalom Austin

  • Clinical Social Worker
  • Austin, TX
  • NPI 1114466364
  Medicare reassignment Care Compare group NPD
• Jewish Community Association of Austin

  • Clinical Social Worker
  • Austin, TX
  • NPI 1003831892
  NPD

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1235819657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 JOLLYVILLE RD STE 110SOUTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592327",
            "telephone_number": "512-735-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 JOLLYVILLE RD STE 110SOUTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592327",
            "telephone_number": "512-735-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "SMITH",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marcy Louise Smith, ANP
• Maria Lucente Smith, MA, LPC
• Marti Smith, OTR
• Mary Kevan Smith, LPC-A
• Mary Murray Smith, RN
• Matthew Smith, D.C.
• Matthew Norman Smith, L.P.C.
• Megan Nicole Smith, PT, DPT
• Melissa C Smith, M.D.
• Meredith Marie Smith, LCSW, CART

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.