Matthew Andrew Kawiak, D.MIN., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038598-1 Issued in NY

Practice address

625 Panorama TRL
BLDG 1
Rochester, NY 14625-2404

Phone

(585) 586-8650

Fax

(585) 387-0516

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457374167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRAIL",
            "address_2": "BLDG 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-586-8650",
            "fax_number": "585-387-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL",
            "address_2": "BLDG 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252404",
            "telephone_number": "585-586-8650",
            "fax_number": "585-387-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWIAK",
        "first_name": "MATTHEW",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.MIN., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038598-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "R038598-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandeep Kaur, PA
• Satpal Kaur, M.D.
• Matthew Kausch, CASAC, PEER SPECIALI
• Rebecca Kavanaugh, FNP
• Rae Ellen Kavey, MD
• Daniel Brice Kay, PH.D.
• Ashley Kaye, MSW
• Edward David Kaye, M.D.
• Elise Kayson-Rubin, N.P.
• Cary Alan Kazdan, O.D.

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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 Jul 8, 2007; 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.