Individual provider Active NPI

Liat Matthew, LCSW

  • Clinical Social Worker
  • Livingston, NJ
National Provider Identifier
1528376019
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04730300 Issued in NJ
Practice address
3 Cobblewood Rd
Livingston, NJ 07039-2019
Phone
(917) 587-1697
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04730300 NJ Primary

Addresses

Primary practice location

3 Cobblewood Rd
Livingston, NJ 07039-2019

Mailing address

3 Cobblewood Rd
Livingston, NJ 07039-2019
Phone (917) 587-1697

Other identifiers 1

IdentifierTypeStateIssuer
44SC04730300OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20110103000834 NJ Practitioner - Clinical Social Worker 6507054756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 W Mount Pleasant Ave
Suite 205
Livingston, NJ 07039-2930
Phone (201) 292-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04730300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Lauer Listhaus, Psy. D., LLC CurrentSince Oct 21, 2015 Accepting new patients

Locations

66 W Mount Pleasant Ave
Ste 205
Livingston, NJ 07039
Phone (917) 837-0598

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1528376019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COBBLEWOOD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392019",
            "telephone_number": "917-587-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COBBLEWOOD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392019",
            "telephone_number": "917-587-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "LIAT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04730300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44SC04730300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.