Matthew Manson Atteberry, LSCSW
Individual provider Active NPI Social Worker · Parsons, KS
NPI 1407949696 · NPPES record last updated Oct 16, 2017
Key facts
- NPI
- 1407949696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1567 (KS)
- Practice address
- 1730 Belmont
Parsons, KS 67357-0258 - Phone
- (620) 421-3770
- Fax
- (620) 421-0665
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1567 | KS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labette Center for Mental Health Services Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1567 | KS | Yes |
Addresses
Primary practice location
1730 Belmont
Parsons, KS 67357-0258
Mailing address
PO Box 258
1730 Belmont
Parsons, KS 67357-0258
Phone (620) 421-3770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044755 | Other | KS | BLUE CROSS BLUE SHIELD |
Other providers in Parsons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.