Active NPI
Matthew Lucas Womack, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1528787447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117060-01
- Practice address
- 307 W 38TH St
New York, NY 10018-2913 - Phone
- (212) 367-1284
- NPI assigned
- Aug 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 117060-01 | NY | Primary |
Addresses
Primary practice location
307 W 38TH St
New York, NY 10018-2913
Mailing address
2832 44TH St Apt 32
Astoria, NY 11103-2171
Phone (423) 368-5778
Other names 1
- Lucas Womack
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117060-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1528787447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2832 44TH ST APT 32",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032171",
"telephone_number": "423-368-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W 38TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100182913",
"telephone_number": "212-367-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "MATTHEW",
"middle_name": "LUCAS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117060-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCAS",
"last_name": "WOMACK",
"credential": "LMSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.