Christopher Lloyd Matih Sr., MSW,LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22634 Issued in MD

Practice address

Community Bridge Builders of Maryland LLC
5900 York Road, Suite 206
Baltimore, MD 21212-3041

Phone

(443) 885-9173

Fax

(443) 885-9174

NPI assigned

Nov 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Community Bridge Builders of Maryland LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1013424340
  NPD (past) Authorized official
• Community Bridge Builders Inc

  • Voluntary or Charitable Agency
  • Baltimore, MD
  • NPI 1467901454
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1831562040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66411",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212396411",
            "telephone_number": "443-885-9173",
            "fax_number": "443-885-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY BRIDGE BUILDERS OF MARYLAND LLC",
            "address_2": "5900 YORK ROAD, SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123041",
            "telephone_number": "443-885-9173",
            "fax_number": "443-885-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIH",
        "first_name": "CHRISTOPHER",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSW,LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MD",
            "license": "22634",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Mathur, D.O.
• Rohan Mathur, MD
• Vineesh Mathur, M.D.
• Pamela Anne Mathy, PHD CCC SLP
• Yahaira Matias Mendez, FNP
• Taahirah Matin
• Brian Richard Matlaga, M.D.
• Leigh E Matlaga, M.D.
• Brett James Matoian, MD
• Andres Matoso

• Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.