Matthew Scott Amador, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022197 Issued in IL

Practice address

5650 N Sheridan Rd Apt 17B
Chicago, IL 60660-4829

Phone

(773) 263-5702

NPI assigned

Oct 1, 2018

Last updated

Sep 13, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matador Behavioral Health LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1134820319
  NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1275018640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 N SHERIDAN RD APT 17B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604829",
            "telephone_number": "773-263-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N SHERIDAN RD APT 17B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604829",
            "telephone_number": "773-263-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ama PT PC
• Shisha P Amabel, M.S.
• Phyllis Amabile, M.D.
• Rita N Amadi, LCSW
• Liliana I Amador
• Shawn Marie Amador, LCSW
• Kingsley Chibueze Amaefule, MD
• Amal Jahan Inc
• Amal K. Mukherjee MD SC
• Amalendu Majumdar M.D., S.C.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.