Matthew McDavid LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MATTHEW MCDAVID LCSW PLLC

Doing business as

McDavid Creative Therapy

Practice address

53 Hill St Ste 51
Southampton, NY 11968-5316

Phone

(631) 904-0844

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By 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

Yolanda Vazquez, LCSW

Title

Clinical Director

Phone

(857) 559-3435

Specialties & licenses 1

Addresses

Other names 1

• McDavid Creative Therapy Doing business as

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.

• Matthew Collins McDavid, LCSW

  • Clinical Social Worker
  • Southampton, NY
  • NPI 1871042531
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1659124048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HILL ST STE 51",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685316",
            "telephone_number": "631-904-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HILL ST STE 51",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685316",
            "telephone_number": "631-904-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW MCDAVID LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "857-559-3435",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDavid Creative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Martin, CASAC
• Ana Laura Martinez-Tapia, MD
• Nathalie B Martinez, NP
• Kari Louise Massarotti, DPT
• Thomas Mathew, M.D.
• Lauren Debra Matzen, MAC,LICAC,NCCAOM DIP
• Jo Anne Maynard, DNP
• Mbody Minimally Invasive Surgery, PC
• Olga L McAbee, MD
• Elaine Mary McCarthy, PA

• Clinical Social Worker in Southampton, NY
• Providers in Southampton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.