Active NPI
Cassandra Renee Matz, LCSW
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1609078534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09923532
- Practice address
- 11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622 - Phone
- (303) 617-2606
- Fax
- (303) 617-2475
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09923532 | CO | Primary |
Addresses
Primary practice location
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Mailing address
11059 E Bethany Dr
Suite 200
Aurora, CO 80014-2622
Phone (303) 617-2606
Other names 1
- Cassandra Renee Grella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
27 White Pine Way
Phenix City, AL 36869-7983
8481 E 33Rd Ave
Denver, CO 80238-3428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09923532 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Life Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1639639347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1609078534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR",
"address_2": "SUITE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142622",
"telephone_number": "303-617-2606",
"fax_number": "303-617-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR",
"address_2": "SUITE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142622",
"telephone_number": "303-617-2606",
"fax_number": "303-617-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZ",
"first_name": "CASSANDRA",
"middle_name": "RENEE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09923532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "GRELLA",
"middle_name": "RENEE",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.