Sharon D Mattsson, LCSW
Individual provider Active NPI Clinical Social Worker · Schuylerville, NY
NPI 1346362019 · NPPES record last updated Feb 1, 2011
Key facts
- NPI
- 1346362019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 077559-1 (NY)
- Practice address
- 135 Cemetary Rd
Schuylerville, NY 12871-1866 - Phone
- (518) 695-4353
- Fax
- (518) 581-1709
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
95 Allens Creek Rd
Suite 2223
Rochester, NY 14618-3254
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111014000291 | NY | Practitioner - Clinical Social Worker | 7315119419 |
Reassigns benefits to 1 organization Practice locations: Rochester, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077559-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wingspan Counseling LCSW PLLC | Current |
Accepting new patients | |
| Ecs Wellness Psychology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077559-1 | NY | Yes |
Addresses
Primary practice location
135 Cemetary Rd
Schuylerville, NY 12871-1866
Mailing address
135 Cemetary Rd
Schuylerville, NY 12871-1866
Phone (518) 695-4353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346362019 | Medicaid | NY |
Other providers in Schuylerville, NY
- Kelly Kolnick
- Tara L Lafave
- Jason Lambert
- Tara Letzring
- Wendy Lukas
- Christian Michael McMillan
- Milestones, Occupational Therapy, Physical Therapy, Speech Therap PLLC
- Montefiore Medical Center
- Kristen Peck
- Jeffrey James Piper
All providers in Schuylerville, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.