Mabatho Lucia Matima, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071569 Issued in NY

Practice address

159 Jefferson HTS
Catskill, NY 12414-1237

Phone

(518) 755-0519

NPI assigned

Feb 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1427321090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 REYNOLDS RD",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121063424",
            "telephone_number": "518-755-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141237",
            "telephone_number": "518-755-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIMA",
        "first_name": "MABATHO",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Schilansky
• Peter Scott Markman, LCSW
• Lana Lee Marrone, HHA
• Sebastian Vincent Martorana, RPA-C
• Gabriel Massyk, LMHC
• Vincent J McAdams
• Kathleen McCarthy, RN
• Elisabeth W. McKeon, MD
• Anna Irene Meguin
• Samuel K Merkhan, MD

• Clinical Social Worker in Catskill, NY
• Providers in Catskill, 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 Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.