Emily Matthew

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

607 Old Steese Hwy Ste B
Fairbanks, AK 99701-3163

Phone

(907) 750-2540

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Winter Moon Child & Family Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairbanks, AK
  • NPI 1790519023
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1558847947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HWY STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013163",
            "telephone_number": "907-750-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HWY STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013163",
            "telephone_number": "907-750-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 2nd Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014739",
            "country_code": "US",
            "telephone_number": "907-750-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "174232",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Martinez
• Ronald A Martino, MD
• Christina Martz, B.A.
• Tyler Andrew Matlock
• Kayla Marie Pualani Matos
• Heather Suzanna Matumeak
• Jennifer Matz, CCC-SLP
• Amber Doris Maughan, CDC I
• Mavencamp Family Eyecare, Inc
• Michael J Mavencamp, OD

• Clinical Social Worker in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.