Matrix Consuling Institue

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 23796 Issued in CA

Legal business name

MATRIX CONSULING INSTITUE

Practice address

1009 Freedom Blvd
Watsonville, CA 95076-3263

Phone

(831) 768-9398

Fax

(831) 768-7014

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Blanca Tavera, LCSWNPI 1528473873

Title

Principal

Phone

(831) 768-9398

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blanca Tavera, LCSW

  • Clinical Social Worker
  • Watsonville, CA
  • NPI 1528473873
  NPD (past) Authorized official

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1609010461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763263",
            "telephone_number": "831-768-9398",
            "fax_number": "831-768-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FREEDOM BLVD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763263",
            "telephone_number": "831-768-9398",
            "fax_number": "831-768-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX CONSULING INSTITUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "TAVERA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "831-768-9398",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Cole Mashman
• Adriana Mata
• Patricia Mata
• Veronica Mata
• Karla Matias-Romero
• Matrix Rehabilitation, Inc.
• Joseph Daniel Matthews, RDCS, RVT, RDMS, RPH
• Hunter Matys
• Theresa Elise May, PA
• Elyse Marie McAninch, DDS

• Clinical Social Worker in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.