Individual provider Active NPI

Daniel Ray Mathuews Jr., LISW-S

  • Clinical Social Worker
  • Chillicothe, OH
National Provider Identifier
1437650413
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002523-SUPV Issued in OH
Practice address
77 E Water St Ste 217
Chillicothe, OH 45601-2586
Phone
(740) 701-2890
NPI assigned
Feb 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 I.2002523-SUPV OH Primary

Addresses

Primary practice location

77 E Water St Ste 217
Chillicothe, OH 45601-2586

Mailing address

77 E Water St Ste 217
Chillicothe, OH 45601-2586
Phone (740) 701-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210901003890 OH Practitioner - Clinical Social Worker 3971909755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dirty South Therapeutics LLCGroup PAC ID 4688020126, 3 clinicians

Practice addresses (Care Compare)

67 E Water St
Chillicothe, OH 45601-2535
Phone (740) 993-9571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dirty South Therapeutics LLC Clinical CurrentSince May 31, 2023 Accepting new patients
Dirty South Therapeutics LLC Clinical Past Accepting new patients
Dirty South Therapeutics LLC Clinical Past Accepting new patients

Locations

67 E Water St
Chillicothe, OH 45601
Phone (740) 775-9995

77 E Water St
Ste 217
Chillicothe, OH 45601
Phone (740) 701-2890

Organizations & group practices 3

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1437650413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E WATER ST STE 217",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012586",
            "telephone_number": "740-701-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E WATER ST STE 217",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012586",
            "telephone_number": "740-701-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUEWS",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002523-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.