Individual provider Active NPI

Matthew Hunt Davis, LMSW

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1609952712
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0738021 Issued in NY
Practice address
315 Alberta Dr Ste 211
Amherst, NY 14226-1814
Phone
(716) 837-6705
Fax
(716) 837-6759
NPI assigned
Oct 31, 2006
Last updated
Jan 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0738021 NY Primary

Addresses

Primary practice location

315 Alberta Dr Ste 211
Amherst, NY 14226-1814

Mailing address

315 Alberta Dr Ste 211
Amherst, NY 14226-1814
Phone (716) 837-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000074 NY Practitioner - Clinical Social Worker 7416127378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew H Davis LCSW PLLCGroup PAC ID 9335566595, 5 clinicians

Practice addresses (Care Compare)

90 Sylvan Pkwy
Buffalo, NY 14228-1109
Phone (716) 202-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0738021NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew H Davis LCSW, PLLC Clinical CurrentSince Aug 23, 2020 Accepting new patients

Locations

90 Sylvan Pkwy
Buffalo, NY 14228
Phone (716) 202-8854

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1609952712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DR STE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261814",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DR STE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261814",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "HUNT",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0738021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.