Debra Sarch Matrick, MSW, LCSW, DCSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37F100138600 Issued in NJ

Practice address

1101 Rte 390
Suite 102
Cresco, PA 18326

Phone

(570) 595-0943

Fax

(570) 595-0969

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1497770358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "address_2": "ROUTE 390",
            "city": "MOUNTAINHOME",
            "state": "PA",
            "postal_code": "183420108",
            "telephone_number": "570-595-0943",
            "fax_number": "570-595-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RTE 390",
            "address_2": "SUITE 102",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "18326",
            "telephone_number": "570-595-0943",
            "fax_number": "570-595-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRICK",
        "first_name": "DEBRA",
        "middle_name": "SARCH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW008764L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00204500",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100138600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Leigh Hammerstone, LCSW
• Nelda Renee Hampton
• Michael N. Kessler, M.D., M.A.
• Phillip Everett Long, LSW, MSW, MPA
• Cheryl Ann Lynott, M.S./ CCC-SLP
• Alexis Love Monge
• Mountainhome Counseling Center
• Alicia Nothstein
• Pennsylvania CVS Pharmacy, L.L.C.
• Terry Ann Ramsour, OTR/L

• All providers in Cresco, PA
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.