Matthew Nicholas, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07000400 Issued in NJ

Practice address

65 N Maple Ave Ste 202
Ridgewood, NJ 07450-3233

Phone

(201) 995-7578

NPI assigned

Aug 3, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridgewood House of Wellness LLC

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1841915709
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1598447161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 MADISON AVE APT 2B",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461371",
            "telephone_number": "201-819-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MAPLE AVE STE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503233",
            "telephone_number": "201-995-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MATTHEW",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07000400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Keystone Physicians,PA
• New Perspectives NJ LLC
• Next Generation Sports and Spine LLC
• Gracia Nibigira
• Nikitas Nicholaides, MS, ATC, CSCS, CFST2
• Nicole Liloia, LCSW, LLC
• Nihon Shika Group Ridgewood
• Joel S Nizin, M.D.
• Nora Heflin Williams MD LLC
• Jacqueline Therese Norrell, DNP

• Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.