Individual provider Active NPI

Nydia Matos

  • Clinical Social Worker
  • Oakland, FL
National Provider Identifier
1245640622
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
301 N Tubb St Ste 111
Oakland, FL 34760-9055
Phone
(407) 720-5057
NPI assigned
May 6, 2014
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

301 N Tubb St Ste 111
Oakland, FL 34760-9055

Mailing address

PO Box 494
Oakland, FL 34760-0494
Phone (407) 720-5057

Other practice location 1

1948 Portcastle Cir
Winter Garden, FL 34787-4748
Phone (407) 592-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190510000077 FL Practitioner - Clinical Social Worker 7315280542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 N Tubb St
Suite 111
Oakland, FL 34760-9055
Phone (407) 720-5057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Resource Services, Inc. CurrentSince Apr 29, 2019 Accepting new patients
Uplift Wellness Consulting, LLC Clinical CurrentSince Feb 25, 2025 Accepting new patients

Locations

301 N Tubb St
Ste 111
Oakland, FL 34760
Phone (407) 720-5057

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1245640622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347600494",
            "telephone_number": "407-720-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N TUBB ST STE 111",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347609055",
            "telephone_number": "407-720-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1948 Portcastle Cir",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874748",
            "country_code": "US",
            "telephone_number": "407-592-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS",
        "first_name": "NYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, FL

Sources for this page

Verify at the official NPI Registry.