Jennifer H. Matthieu, LCSW,PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003741 Issued in NC

Legal business name

JENNIFER H. MATTHIEU, LCSW,PLLC

Practice address

602 E Academy St
Suite 205
Fuquay Varina, NC 27526-2382

Phone

(919) 346-5355

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Hyra Matthieu, MSW, LCSWNPI 1013020692

Title

Owner/Licensed Clinical Social Work

Phone

(919) 961-0109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Hyra Matthieu, LCSW

  • Clinical Social Worker
  • Fuquay Varina, NC
  • NPI 1013020692
  Authorized official Same address or phone

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1629261094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275920310",
            "telephone_number": "919-346-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E ACADEMY ST",
            "address_2": "SUITE 205",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262382",
            "telephone_number": "919-346-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER H. MATTHIEU, LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "MATTHIEU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HYRA",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "919-961-0109",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Jacobs, COTA/L
• Michael Jacobs IV, FNP-BC
• Rachel Anne Jaffry
• James S McKenzie DDS PA
• Dannah Jarrad
• Megan Jernigan
• Jessica McConnell DDS
• Rachel Haresh Jhala, OD
• Joe B. Currin, Jr., M.D., P.a.
• Johnson Optometric Associates PA

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.