Individual provider Active NPI

Matthew Sosnowsky

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1376806208
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080383 Issued in DC
Practice address
148 N 3Rd St
Philadelphia, PA 19106-1733
Phone
(610) 217-7955
NPI assigned
Jun 15, 2012
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18136 MD
Clinical Social Worker 1041C0700X LC50080383 DC Primary

Addresses

Primary practice location

148 N 3Rd St
Philadelphia, PA 19106-1733

Mailing address

PO Box 40333
615 Chestnut St
Philadelphia, PA 19106-0333
Phone (610) 217-7955

Other practice location 1

7474 Greenway Center Dr
Suite 730
Greenbelt, MD 20770-3504
Phone (301) 345-1022

Other practice location 2

2929 Connecticut Ave NW Apt 406
Washington, DC 20008-1419
Phone (610) 217-7955

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

LicenseStateTypeSpecialty
LC50080383DCMDClinical Social Worker
18136MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matt Sosnowsky, PLLC Clinical CurrentSince Oct 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1376806208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40333",
            "address_2": "615 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060333",
            "telephone_number": "610-217-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061733",
            "telephone_number": "610-217-7955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 Greenway Center Dr",
            "address_2": "Suite 730",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703504",
            "country_code": "US",
            "telephone_number": "301-345-1022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Connecticut Ave NW Apt 406",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200081419",
            "country_code": "US",
            "telephone_number": "610-217-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSNOWSKY",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "18136",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.