Carmel Matallana, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35247 Issued in TX

Practice address

2402 Rain Fall St
Sugar Land, TX 77479-1433

Phone

(832) 875-7023

NPI assigned

Apr 21, 2015

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1275920936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 RAIN FALL ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791433",
            "telephone_number": "832-875-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 RAIN FALL ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791433",
            "telephone_number": "832-875-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALLANA",
        "first_name": "CARMEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renea Marusik-Cummins, PT
• Robert Mason
• Hannah Massey, COTA/L
• Nanette Laura Masterson, MA, LPC
• Henry A. Mata Jr., MD
• Maternal and Child Health Services
• Benita Mathai
• Aleena Mathew, DPT
• Anusha Rachel Mathew, OD
• Brigit Mathew, NP

• Clinical Social Worker in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.