Luis R Matos, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

070486 Issued in NY

Practice address

8808 Liberty Ave
Ozone Park, NY 11417-1329

Phone

(952) 949-9342

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resolutions Counseling and Family Services LCSW PLLC

  • Clinical Social Worker
  • South Richmond Hill, NY
  • NPI 1699085183
  NPD (past)
• South Richmond Hill Recovery LLC

  • Community/Behavioral Health Agency
  • Ozone Park, NY
  • NPI 1508223934
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1770093999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8768 114TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182438",
            "telephone_number": "929-499-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171329",
            "telephone_number": "952-949-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "LUIS",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Esc, LLC (Mason Eye Surgery Center)
• Mason Eye Care LLC
• Scott Masterson
• Alondra Matamoros, DOULA
• Solomon Matatov
• Yesenia McArthur
• Eileen M. McCann, M.A. CCC/SLP
• Christina M McCourt, RN
• Tenia McCoy
• Allison Jennifer McGowan, RPH

• Social Worker in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.