Individual provider Active NPI

Rylee Faith Matechak, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1619716891
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020540 Issued in NC
Practice address
2221 Raven Rd Unit 107
Raleigh, NC 27614-6771
Phone
(410) 491-0327
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P020540 NC Primary

Addresses

Primary practice location

2221 Raven Rd Unit 107
Raleigh, NC 27614-6771

Mailing address

2221 Raven Rd Unit 107
Raleigh, NC 27614-6771
Phone (410) 491-0327

Other practice location 1

109 N Church St
Louisburg, NC 27549-2528
Phone (252) 477-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P020540NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
At-Home Counseling Services, Inc. Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

109 N Church St
Louisburg, NC 27549
Phone (252) 477-0008

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1619716891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 RAVEN RD UNIT 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146771",
            "telephone_number": "410-491-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 RAVEN RD UNIT 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146771",
            "telephone_number": "410-491-0327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N Church St",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "275492528",
            "country_code": "US",
            "telephone_number": "252-477-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATECHAK",
        "first_name": "RYLEE",
        "middle_name": "FAITH",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.