Active NPI
Deloris Vivian Matthews, LCSW
- Clinical Social Worker
- Irvine, CA
National Provider Identifier
1326442708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW62391
- Practice address
- 7303 Pintado
Irvine, CA 92618-0231 - Phone
- (949) 375-0118
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW62391 | CA | Primary |
Addresses
Primary practice location
7303 Pintado
Irvine, CA 92618-0231
Mailing address
PO Box 7162
Newport Beach, CA 92658-7162
Phone (949) 375-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW62391 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1326442708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7162",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926587162",
"telephone_number": "949-375-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7303 PINTADO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180231",
"telephone_number": "949-375-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "DELORIS",
"middle_name": "VIVIAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW62391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.