Active NPI
Theresa Joy Matson, LSW
- Social Worker
- Ligonier, PA
National Provider Identifier
1598034373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW013566L
- Practice address
- 501 N Saint Clair St
Ligonier, PA 15658-1326 - Phone
- (724) 331-3217
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | SW013566L | PA | Primary |
Addresses
Primary practice location
501 N Saint Clair St
Ligonier, PA 15658-1326
Mailing address
501 N Saint Clair St
Ligonier, PA 15658-1326
Phone (724) 331-3217
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 |
|---|---|---|---|
| SW013566L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1598034373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N SAINT CLAIR ST",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156581326",
"telephone_number": "724-331-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N SAINT CLAIR ST",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156581326",
"telephone_number": "724-331-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "THERESA",
"middle_name": "JOY",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW013566L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ligonier, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.