Individual provider Active NPI

Elizabeth Jeanette Matson, CSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1306589205
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09927905 Issued in CO
Practice address
1738 Wynkoop St Ste 303
Denver, CO 80202-1000
Phone
(720) 730-8981
Fax
(720) 513-5762
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 09927905 CO Primary

Addresses

Primary practice location

1738 Wynkoop St Ste 303
Denver, CO 80202-1000

Mailing address

745 Stonemont CT
Castle Pines, CO 80108-8238
Phone (303) 358-4911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@sondermind.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230810001254 CO Practitioner - Clinical Social Worker 7517329394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09927905COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Jul 28, 2023 Accepting new patients
SPN Government LLC Clinical PastSince Apr 24, 2022 Accepting new patients

Locations

1738 Wynkoop St
Ste 303
Denver, CO 80202
Phone (720) 263-0260

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1306589205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 STONEMONT CT",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801088238",
            "telephone_number": "303-358-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 WYNKOOP ST STE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021000",
            "telephone_number": "720-730-8981",
            "fax_number": "720-513-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "ELIZABETH",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@sondermind.com",
            "affiliation": "N",
            "endpointDescription": "Sondermind Provider Network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sondermind Provider Network",
            "address_1": "1738 Wynkoop St Ste 303",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802021000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.