Matthew Murphy Castine, LICENSED CLINICAL SO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088207 Issued in NY

Practice address

1801 Sixth Avenue (Samaritan Hospital Pros)
Troy, NY 12180

Phone

(518) 271-1122

Fax

(518) 271-1791

NPI assigned

Feb 4, 2016

Sex

Male

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

• Mr. Matthew Murphy Cooper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• St. Colman'S Home Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Watervliet, NY
  • NPI 1144351339
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1346608403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SIXTH AVENUE (SAMARITAN HOSPITAL PROS)",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-1122",
            "fax_number": "518-271-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SIXTH AVENUE (SAMARITAN HOSPITAL PROS)",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-1122",
            "fax_number": "518-271-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTINE",
        "first_name": "MATTHEW",
        "middle_name": "MURPHY",
        "name_prefix": "Mr.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "COOPER",
            "middle_name": "MURPHY",
            "prefix": "MR.",
            "credential": "LICENSED MASTER SOCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Anne Caruso, MD
• Theresa Casey, MS
• Ann K Casselman
• Kathleen R Cassidy, SLP
• Sherri Fay Cassidy, R.N.
• Makenzi Alise Caswell, RN
• Alice Caton, NP
• D Charmaine Cave Dersham, MS.ED. CCC-SLP
• Christina M Celmer, LCSW-R
• Center for Disability Services

• Clinical Social Worker in Troy, NY
• Providers in Troy, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.