Individual provider Active NPI

Barbie Jean Matthews, LCSW, L.C.S.W.

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1790191450
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY-3912 Issued in KY
Practice address
920 Frederica St
Owensboro, KY 42301-3050
Phone
(270) 689-0073
Fax
(270) 689-0083
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 KY-3912 KY Primary

Addresses

Primary practice location

920 Frederica St
Owensboro, KY 42301-3050

Mailing address

245 Rearden LN
Hawesville, KY 42348-5378
Phone (270) 922-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20161104001313 KY Practitioner - Clinical Social Worker 1355629775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Counseling Services IncGroup PAC ID 4789839028, 7 clinicians

Practice addresses (Care Compare)

920 Frederica St
Suite 407
Owensboro, KY 42301-3079
Phone (270) 689-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-3912KYMDClinical Social Worker
3912KYMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Services, Inc. Clinical CurrentSince Aug 27, 2016 Accepting new patients

Locations

203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761

920 Frederica St
Ste 407
Owensboro, KY 42301
Phone (270) 684-1077

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1790191450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 REARDEN LN",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "423485378",
            "telephone_number": "270-922-0066",
            "fax_number": "270-927-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013050",
            "telephone_number": "270-689-0073",
            "fax_number": "270-689-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS, LCSW",
        "first_name": "BARBIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.