Lora Elinore Matz, M.S.,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7562 Issued in MN

Practice address

7616 Currell Blvd
Suite 110
Woodbury, MN 55125-2290

Phone

(651) 259-9763

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dolores E Devore-Matz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1316174311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252290",
            "telephone_number": "651-259-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252290",
            "telephone_number": "651-259-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "LORA",
        "middle_name": "ELINORE",
        "name_prefix": "Ms.",
        "credential": "M.S.,LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "DEVORE-MATZ",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "M.S., LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matrxcare
• Christian Rich Matthews, MD
• Kathleen Mattson
• Lydia Ruth Mattson, MPH, RD
• Mary Lou Mattson, LCSW, DBTC
• Nathan Robert Mayernik, PT, DPT, ATC
• Allyson Carol Maynard, PT, DPT
• Amiyah Kay Mayo
• MB Transportation LLC
• Izaac Mbah Mbah

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, 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 Jun 17, 2009; 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.