Individual provider Active NPI

Elizabeth Farrah Matthews, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1295926798
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11711 Issued in AZ
Practice address
1200 N El Dorado PL Ste 800
Tucson, AZ 85715-4646
Phone
(520) 331-3389
Fax
(520) 305-3279
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-11711 AZ Primary

Addresses

Primary practice location

1200 N El Dorado PL Ste 800
Tucson, AZ 85715-4646

Mailing address

1200 N El Dorado PL Ste 800
Tucson, AZ 85715-4646
Phone (520) 331-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050601000345 AZ Practitioner - Clinical Social Worker 2769424670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Farrah Matthews PLLC CurrentSince Dec 1, 2006 Accepting new patients

Locations

1200 N El Dorado Pl
Ste 420
Tucson, AZ 85715
Phone (520) 331-3389

1200 N El Dorado Pl
Ste 800
Tucson, AZ 85715
Phone (520) 290-4533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1295926798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL STE 800",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154646",
            "telephone_number": "520-331-3389",
            "fax_number": "520-305-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL STE 800",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154646",
            "telephone_number": "520-331-3389",
            "fax_number": "520-305-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ELIZABETH",
        "middle_name": "FARRAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.