Sarah Elizabeth Matalavage, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010270 Issued in VA

Practice address

5511 Staples Mill Rd Ste 300
Henrico, VA 23228-5445

Phone

(804) 230-0999

Fax

(804) 230-0998

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Behavioral Health Center, LLCGroup PAC ID 5092021949, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1982952545

  Clinical

  Medicare reassignment Care Compare group NPD
• Civitas Health Services, Inc.

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1366727984
  Medicare reassignment NPD
• River City Integrative Counseling

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1619369444
  NPD (past)
• Starcity Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1720789142
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770091944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 STAPLES MILL RD STE 300",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285445",
            "telephone_number": "804-230-0999",
            "fax_number": "804-230-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 STAPLES MILL RD STE 300",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285445",
            "telephone_number": "804-230-0999",
            "fax_number": "804-230-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230591734",
            "country_code": "US",
            "telephone_number": "804-230-0999 x224",
            "fax_number": "804-230-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATALAVAGE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Martinez
• Harriett Marvin
• Abigail Mason, LPC
• Hannah Grace Alice Mason, LCSW
• John Michael Massaro, PA
• Jennifer Rachelle Matney-Hopkins, MS CCC/SLP
• Matthew Graham, DDS PLLC
• Carrie W Matthews, LCSW
• Lauren Matthews
• Kimberly Lynn Mauck, LPC, CSAC

• Clinical Social Worker in Henrico, VA
• Providers in Henrico, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.