Active NPI
Matthew Wohl, LMSW
- Social Worker
- Camdenton, MO
National Provider Identifier
1669989398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2021050230
- Practice address
- 63 VFW Rd
Camdenton, MO 65020-8411 - Phone
- (844) 853-8937
- NPI assigned
- Jan 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2021050230 | MO | Primary |
Addresses
Primary practice location
63 VFW Rd
Camdenton, MO 65020-8411
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570
Phone (480) 238-0892
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 |
|---|---|---|---|
| 2021050230 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1669989398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 VFW RD",
"city": "CAMDENTON",
"state": "MO",
"postal_code": "650208411",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [
{
"address_1": "5010 E Shea Blvd Ste D202",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852544570",
"country_code": "US",
"telephone_number": "480-238-0892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHL",
"first_name": "MATTHEW",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-03",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2021050230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camdenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.