Tanya Mattek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2865 Issued in OK

Practice address

6501 NE 50TH St
Oklahoma City, OK 73141-9118

Phone

(405) 605-6111

NPI assigned

Dec 28, 2007

Sex

Female

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

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1609051440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 CADDELL LN",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694541",
            "telephone_number": "405-447-4327",
            "fax_number": "405-447-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731419118",
            "telephone_number": "405-605-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEK",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Matos, LPC CANDIDATE
• Matrix Network Management LLC
• Jobel Matriz, MD
• McKenzie Matson
• Tonya Charlene Matson, ARNP
• Peyton Matteson
• Matthew a McBride MD PC
• Matthew Cohlmia, D.D.S., Inc. P.C.
• Matthew D. McReynolds, D.D.S, P.L.L.C.
• Matthew R. Stanfield MD, PC

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.