Matthew Christian Spitzmueller, PHD, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32379 Issued in MN

Practice address

3137 Hennepin Ave Ste 204
Minneapolis, MN 55408-2602

Phone

(612) 979-4150

Fax

(612) 445-8299

NPI assigned

Oct 29, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Matthew C. Spitzmueller, PLLC

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1710767074
  Medicare reassignment NPD Authorized official
• Live Oak, Inc.

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1629141163
  NPD (past)

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1275819666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 HENNEPIN AVE STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082602",
            "telephone_number": "612-979-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 HENNEPIN AVE STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082602",
            "telephone_number": "612-979-4150",
            "fax_number": "612-445-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZMUELLER",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTIAN",
        "credential": "PHD, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014964",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Designs International
• Caroline Christine Spinarski
• Michael Dean Spiry, MPT
• Elaine K. Spitzer, CRNA
• James Spitzmueller, DDS
• Heidi Lynne Spoelhof, DDS
• Jeffrey Daniel Spoerke, RN
• Richard S Spong, M.D.
• Scott Sponheim
• Steve Carl Spoolman, P.T.

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.