Individual provider Active NPI

Amanda K Matthias, LISW-S

  • Social Worker
  • Beavercreek, OH
National Provider Identifier
1275552770
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0009389 Issued in OH
Practice address
1430 Oak CT Ste 211
Beavercreek, OH 45430-1064
Phone
(937) 304-1615
Fax
(937) 439-2984
NPI assigned
Jul 18, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0009389 OH Primary

Addresses

Primary practice location

1430 Oak CT Ste 211
Beavercreek, OH 45430-1064

Mailing address

1430 Oak CT Ste 211
Beavercreek, OH 45430-1064
Phone (937) 304-1615

Other identifiers 1

IdentifierTypeStateIssuer
0251930MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040911000315 OH Practitioner - Clinical Social Worker 7517934391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7061 Corporate Way
Dayton, OH 45459-4273
Phone (937) 304-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Valley Integrated Psychotherapy LLC CurrentSince Dec 1, 2013 Accepting new patients

Locations

1430 Oak Ct
Ste 211
Beavercreek, OH 45430

1055 E Centerville Station Rd
Dayton, OH 45459
Phone (937) 439-2984

7061 Corporate Way
Dayton, OH 45459
Phone (800) 624-6726

Organizations & group practices 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1275552770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 OAK CT STE 211",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301064",
            "telephone_number": "937-304-1615",
            "fax_number": "937-439-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 OAK CT STE 211",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301064",
            "telephone_number": "937-304-1615",
            "fax_number": "937-439-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0009389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251930",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.