Lynjunita Loeese Matsey, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.010643 Issued in IL

Practice address

12857 Greenwood Ave
Blue Island, IL 60406-2049

Phone

(312) 391-9013

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lynjunita Loeese Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1497901193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12857 GREENWOOD AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062049",
            "telephone_number": "312-391-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12857 GREENWOOD AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062049",
            "telephone_number": "312-391-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSEY",
        "first_name": "LYNJUNITA",
        "middle_name": "LOEESE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.010643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNJUNITA",
            "last_name": "NELSON",
            "middle_name": "LOEESE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramon Manglano, MD
• Avinash Mantha, MD
• Angela Merari Martinez
• Barbara Jean Massette, LCPC
• John Thomas Matera, MD
• Toby Maxwell
• Zayed Maxwell
• Joseph H Mayer, MD
• Adalyn Ruth McDaniel, M.S., CCC
• Kathryn McKenna Schlee

• Social Worker in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.