Active NPI
Rosaria Matos, LCSW
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1497421382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06010600
- Practice address
- 255 Bellevue Ave Unit 8
Montclair, NJ 07043-1356 - Phone
- (973) 289-9473
- NPI assigned
- Aug 19, 2021
- Last updated
- Nov 21, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06010600 | NJ | Primary |
Addresses
Primary practice location
255 Bellevue Ave Unit 8
Montclair, NJ 07043-1356
Mailing address
255 Bellevue Ave Unit 8
Montclair, NJ 07043-1356
Phone (973) 289-9473
Other names 1
- Ro Matos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06010600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Crow Counseling | Current | Accepting new patients |
Locations
255 Bellevue Ave
Unit 8
Montclair, NJ 07043
Phone (973) 289-9473
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Montclair, NJ
- NPI 1407567464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1497421382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 BELLEVUE AVE UNIT 8",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431356",
"telephone_number": "973-289-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 BELLEVUE AVE UNIT 8",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431356",
"telephone_number": "973-289-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "ROSARIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2021-08-19",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06010600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RO",
"last_name": "MATOS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.