Matthew A Tice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW132117 Issued in PA

Practice address

50 Wyoming Ave
Buffalo, NY 14215-4022

Phone

(716) 892-4354

NPI assigned

Sep 8, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1841804713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "267-592-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WYOMING AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142154022",
            "telephone_number": "716-892-4354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142121460",
            "country_code": "US",
            "telephone_number": "716-529-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 Barton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142131573",
            "country_code": "US",
            "telephone_number": "716-881-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICE",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW132117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory R Thurber, PHARM D
• Shawn Yvette Thurmond
• Yuting Tian, PHARMD
• Alexandra Lucia Tibil, M.D
• Kimberly Tice, RN
• Marie Ticen, MSPT
• Robert Carl Tick, MD
• Catherine Tidd
• Monique Sherri Tidwell, NON-EMERGENCY TRANSP
• Caitlyn Mae Tiedemann, DNP

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.