Individual provider Active NPI

Matresa Lea Wooding, LCSW

  • Clinical Social Worker
  • Port Arthur, TX
National Provider Identifier
1336389584
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14647 Issued in TX
Practice address
7980 Anchor Dr
Ste 100a
Port Arthur, TX 77642-8266
Phone
(409) 781-7636
Fax
(409) 727-0024
NPI assigned
Mar 1, 2009
Last updated
Mar 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 14647 TX Primary

Addresses

Primary practice location

7980 Anchor Dr
Ste 100a
Port Arthur, TX 77642-8266

Mailing address

7980 Anchor Dr Ste 100a
Port Arthur, TX 77642-8267
Phone (409) 207-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110609000090 TX Practitioner - Clinical Social Worker 2668659103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7980 Anchor Dr
Suite 100a
Port Arthur, TX 77642-8267
Phone (409) 727-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14647TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cate Carabelle Clinical Psychologist PLLC CurrentSince Jan 6, 2014 Accepting new patients
Matresa Wooding LCSW PLLC Clinical CurrentSince Mar 1, 2011 Accepting new patients
Samaritan Counseling Center of Southeast Texas PastSince Oct 31, 2022 Accepting new patients

Locations

7980 Anchor Dr
Ste 100A
Port Arthur, TX 77642
Phone (409) 727-0014

Organizations & group practices 3

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": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1336389584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR STE 100A",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428267",
            "telephone_number": "409-207-8078",
            "fax_number": "877-567-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR",
            "address_2": "STE 100A",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428266",
            "telephone_number": "409-781-7636",
            "fax_number": "409-727-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODING",
        "first_name": "MATRESA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-01",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.