Individual provider Active NPI

Michael Matthias, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1417991936
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6113-123 Issued in WI
Practice address
1219 N Cass St
Milwaukee, WI 53202-2770
Phone
(414) 221-0022
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6113-123 WI Primary

Addresses

Primary practice location

1219 N Cass St
Milwaukee, WI 53202-2770

Mailing address

4421 N Murray Ave
Shorewood, WI 53211-1644
Phone (414) 221-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040306000200 WI Practitioner - Clinical Social Worker 7113815671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1219 N Cass St
Milwaukee, WI 53202-2770
Phone (414) 221-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6113-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matthias Stutz & Associates S.C. Clinical CurrentSince Sep 1, 2003 Accepting new patients

Locations

1219 N Cass St
Milwaukee, WI 53202
Phone (414) 221-0022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1417991936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 N MURRAY AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111644",
            "telephone_number": "414-221-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-221-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6113-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.