Individual provider Active NPI

Matthew Robert Scheuer

  • Social Worker
  • Tully, NY
National Provider Identifier
1285130146
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100318 Issued in NY
Practice address
1615 Sky High Rd
Tully, NY 13159-3267
Phone
(315) 427-2528
NPI assigned
Mar 31, 2018
Last updated
Mar 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

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 100318 NY Primary

Addresses

Primary practice location

1615 Sky High Rd
Tully, NY 13159-3267

Mailing address

1615 Sky High Rd
Tully, NY 13159-3267
Phone (315) 427-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220802001680 NY Practitioner - Clinical Social Worker 8921480336 Practice locations: Tully, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093794NYMDSocial Worker
100318NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Scheuer LCSW PLLC CurrentSince Oct 9, 2022 Accepting new patients
Mobile Counseling of New Jersey Current Accepting new patients

Organizations & group practices 2

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1285130146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SKY HIGH RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131593267",
            "telephone_number": "315-427-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SKY HIGH RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131593267",
            "telephone_number": "315-427-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEUER",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tully, NY

Sources for this page

Verify at the official NPI Registry.