Bill R. Matson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

973107023501 Issued in UT

Practice address

4055 S 700 E
Suite 102
Salt Lake City, UT 84107-2174

Phone

(810) 450-8508

Fax

(801) 272-1002

NPI assigned

Dec 15, 2005

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Murray, UT
  • NPI 1083704597
  NPD (past)
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1578549127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171166",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841171166",
            "telephone_number": "801-450-8508",
            "fax_number": "801-272-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 S 700 E",
            "address_2": "SUITE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072174",
            "telephone_number": "810-450-8508",
            "fax_number": "801-272-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "BILL",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "973107023501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L Matis, M.D.
• Michael E Matlak, MD
• Chanice Marie Matlock
• Tawnya Matlock
• Cindy Brown Matsen, M.D.
• Karilyn Matson, PHARMD
• McCall Naomi Matson
• Nicholas Matson
• Summer Ann Matson, PA
• Maya Yukiko Matsumoto, MD

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.