Active NPI
Savannah Matlock, LMSW
- Case Manager/Care Coordinator
- Cedar Park, TX
National Provider Identifier
1235939190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 57015
- Practice address
- 1860 S Lakeline Blvd
Cedar Park, TX 78613-3872 - Phone
- (210) 831-4822
- Fax
- (512) 617-9540
- NPI assigned
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57015 | TX | |
| Case Manager/Care Coordinator | 171M00000X | 57015 | TX | Primary |
Addresses
Primary practice location
1860 S Lakeline Blvd
Cedar Park, TX 78613-3872
Mailing address
1860 S Lakeline Blvd
Cedar Park, TX 78613-3872
Phone (210) 831-4822
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 |
|---|---|---|---|
| 57015 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1235939190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 S LAKELINE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133872",
"telephone_number": "210-831-4822",
"fax_number": "512-617-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 S LAKELINE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133872",
"telephone_number": "210-831-4822",
"fax_number": "512-617-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLOCK",
"first_name": "SAVANNAH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57015",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "57015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.