Active NPI
Matthew Word, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1811673478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P122379
- Practice address
- 779 Carroll St
Brooklyn, NY 11215-1402 - Phone
- (646) 468-2152
- NPI assigned
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P122379 | NY | Primary |
Addresses
Primary practice location
779 Carroll St
Brooklyn, NY 11215-1402
Mailing address
20 Suffolk Ave
Maplewood, NJ 07040-1713
Phone (646) 468-2152
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
| License | State | Type | Specialty |
|---|---|---|---|
| P122379 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1811673478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SUFFOLK AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401713",
"telephone_number": "646-468-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "779 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151402",
"telephone_number": "646-468-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORD",
"first_name": "MATTHEW",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P122379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.