Active NPI
Mathew Materni, LISW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1366827032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1600299
- Practice address
- 1946 N 13TH St
Toledo, OH 43604-7258 - Phone
- (419) 720-9247
- NPI assigned
- Jul 23, 2015
- Sex
- Male
- Sole proprietor
- No
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 | I.1600299 | OH | Primary |
Addresses
Primary practice location
1946 N 13TH St
Toledo, OH 43604-7258
Mailing address
1848 Byron PL
Oregon, OH 43616-3806
Phone (419) 322-4332
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1600299 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1366827032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 BYRON PL",
"city": "OREGON",
"state": "OH",
"postal_code": "436163806",
"telephone_number": "419-322-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 N 13TH ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047258",
"telephone_number": "419-720-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATERNI",
"first_name": "MATHEW",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1600299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.