Roxanna I Duntley-Matos, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801078742 Issued in MI

Practice address

2142A Washtenaw Rd
Ypsilanti, MI 48197-1708

Phone

(734) 829-0075

NPI assigned

Aug 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Journeys LLC

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1326242827
  NPD (past) Authorized official
• Arbor West Chiropractic Center P.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1467529453
  NPD (past)
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1699969048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3193",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063193",
            "telephone_number": "734-829-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142A WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971708",
            "telephone_number": "734-829-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNTLEY-MATOS",
        "first_name": "ROXANNA",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078742",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Elaine Duerr, ARPN
• Angelina Dumitrescu
• Samantha Dunleavy, CEP
• Makayla Dunn
• Jada Dunson
• Cereste Duprat-Fabre
• Joanna M. Duquette, M.D.
• Mackenzie Durant
• Alice M Durham, RN
• Swati Dutta, MD

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.