Beth W Matthews, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24589 Issued in MN

Practice address

15600 53Rd Ave N
Plymouth, MN 55446

Phone

(763) 489-8430

Fax

(855) 213-0734

NPI assigned

Nov 17, 2006

Last updated

Dec 7, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Practice roles

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.

• Beth W Matthews

  • Clinical Social Worker
  • Plymouth, MN
  • NPI 1861867376
  Authorized official Same address or phone
• Atlantic Counseling and Consultation, Inc

  • Psychologist
  • South Weymouth, MA
  • NPI 1285729004
  NPD (past)
• Inclusive Options, LLC

  • Mental Health Counselor
  • Columbus, IN
  • NPI 1144948605

  Clinical

  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1447324074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 53RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "763-489-8430",
            "fax_number": "855-213-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 53RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "763-489-8430",
            "fax_number": "855-213-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Highway 100 S",
            "address_2": "Suite 334",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554161529",
            "country_code": "US",
            "telephone_number": "763-489-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Niagara Ln N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554474911",
            "country_code": "US",
            "telephone_number": "763-489-8430",
            "fax_number": "763-489-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BETH",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003697A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCW",
            "identifier": "24589",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Arturo Martinez
• Kristen Faith Martins, CRNA
• Kelsey J. Mason, FNP-BC
• Miranda Massey, OTR/L
• Caroline Ruth Mathews, M.D.
• Maverick Mental Health LLC
• Maxicare Minnesota, Inc
• Christopher Michael McAninch, M.D.
• Tanner James McArdle, MD
• Rachel Mae McCabe

• Clinical Social Worker in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.