Individual provider Active NPI

Matthew D. Arnzen, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1699111419
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5022 Issued in KY
Practice address
4339 Winston Ave
Covington, KY 41015-1739
Phone
(859) 835-2573
NPI assigned
May 20, 2013
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5022 KY Primary

Addresses

Primary practice location

4339 Winston Ave
Covington, KY 41015-1739

Mailing address

600 Greenup St
Covington, KY 41011-2524
Phone (859) 307-3010

Other identifiers 1

IdentifierTypeStateIssuer
610661458OtherKYTAX ID

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
5022KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mainspring Wellness, LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

526 Philadelphia St
Covington, KY 41011
Phone (859) 328-2593

600 Greenup St
Covington, KY 41011
Phone (859) 349-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1699111419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112524",
            "telephone_number": "859-307-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNZEN",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "610661458",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.