Jennifer N Matamoros, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8987 Issued in KS

Practice address

22214 D St
Winfield, KS 67156-7376

Phone

(620) 442-4540

Fax

(620) 442-4559

NPI assigned

Sep 3, 2013

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 KS

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumner Mental Health CenterGroup PAC ID 1759337959, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sumner Mental Health Center

  • Mental Health Counselor
  • Wellington, KS
  • NPI 1093735896
  Medicare reassignment Care Compare group NPD
• Cowley County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winfield, KS
  • NPI 1588653588
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1497180939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-442-4540",
            "fax_number": "620-442-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-442-4540",
            "fax_number": "620-442-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMOROS",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Maddox, OTR/L
• April Madrigal
• Alan Douglas Marcotte, D.D.S.
• Michele Dionne Martin, LMSW
• Ty J Masterson, LAT, ATC
• Daisy Ann Soriano Matias, MD
• McClure Medical Practice, PA
• Claren Lorelle' McCormick
• Karla McDermott, LMSW
• Wendy R McGregor, LMSW

• Social Worker in Winfield, KS
• Providers in Winfield, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.