Gabrielle Matijosaitis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022981 Issued in PA

Practice address

300 S Chester Rd Ste 105
Swarthmore, PA 19081-1800

Phone

(610) 203-6102

NPI assigned

Oct 10, 2022

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

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.

• Essentials of Recovery de

  • Substance Abuse Rehabilitation Facility
  • Wilmington, DE
  • NPI 1912463266
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1588389852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N OLD MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634429",
            "telephone_number": "610-203-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CHESTER RD STE 105",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811800",
            "telephone_number": "610-203-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 N Old Middletown Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190634429",
            "country_code": "US",
            "telephone_number": "610-203-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Lancaster Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198051511",
            "country_code": "US",
            "telephone_number": "302-842-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIJOSAITIS",
        "first_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012398",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne P Mallaghan Rasco, LICENSED PA PSYCHOLO
• Marie Mancini, LAT, ATC
• Rebecca Marshall, OTR/L
• Martin Drugs Inc
• Diane Mathesian
• Emily McCarthy, M.S., CCC-SLP
• George Edward McCarthy Jr., M.D.
• Michaela Eileen McLaughlin
• Frances A Meehan, PSYD
• Gregory Broughton Milbourne, PSY.D.

• Clinical Social Worker in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.