Individual provider Active NPI

Katelyn Matuska, LCSW

  • Clinical Social Worker
  • Middletown, CT
National Provider Identifier
1265116602
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13108 Issued in CT
Practice address
1 Macdonough PL
Middletown, CT 06457-3607
Phone
(860) 358-3433
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 13108 CT Primary

Addresses

Primary practice location

1 Macdonough PL
Middletown, CT 06457-3607

Mailing address

181 Austin Ryer LN
Branford, CT 06405-2670
Phone (203) 751-1578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230911004211 CT Practitioner - Clinical Social Worker 5294199105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

1 Macdonough PL
Middletown, CT 06457-3607
Phone (860) 358-4034

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Oct 1, 2023 Accepting new patients
Middlesex Hospital CurrentSince Oct 1, 2023 Accepting new patients
Behavioral Health & Wellness, LLC Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

3190 Whitney Ave
Unit 6
Hamden, CT 06518
Phone (203) 399-6071

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1265116602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 AUSTIN RYER LN",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052670",
            "telephone_number": "203-751-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MACDONOUGH PL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573607",
            "telephone_number": "860-358-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSKA",
        "first_name": "KATELYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.