Active NPI
Ellen Horowitz Matz, LMSW
- Social Worker
- Elkins Park, PA
National Provider Identifier
1669068722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW001998E
- Practice address
- 8302 Old York Rd Ste C-200
Elkins Park, PA 19027-1522 - Phone
- (215) 920-8149
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW001998E | PA | |
| Social Worker | 104100000X | SW001998E | PA | Primary |
Addresses
Primary practice location
8302 Old York Rd Ste C-200
Elkins Park, PA 19027-1522
Mailing address
8302 Old York Rd Ste C-200
Elkins Park, PA 19027-1522
Phone (215) 920-8149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW001998E | Other | PA | LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ellenmatz9@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW001998E | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1669068722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 OLD YORK RD STE C-200",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271522",
"telephone_number": "215-920-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 OLD YORK RD STE C-200",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271522",
"telephone_number": "215-920-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATZ",
"first_name": "ELLEN",
"middle_name": "HOROWITZ",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW001998E",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW001998E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "SW001998E",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ellenmatz9@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "httms",
"address_1": "8302 Old York Rd Ste C-200",
"city": "Elkins Park",
"state": "PA",
"country_code": "US",
"postal_code": "190271522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.