Matthew Jon McUmber, LCSW, LADAC, CADC II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6110 Issued in GA

Practice address

3091 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4003

Phone

(706) 841-0500

Fax

(423) 464-7512

NPI assigned

Jun 21, 2017

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1447256243

  Multi-Specialty

  Medicare reassignment NPD
• Vitalis Behavioral Health

  • Multi-Specialty Clinic/Center
  • Fort Oglethorpe, GA
  • NPI 1285271528
  Medicare reassignment NPD
• Tri-Med Family Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ringgold, GA
  • NPI 1356596399
  Medicare reassignment
• Highland Rivers CSB

  dba Highland Rivers Whitfield Treatment Services

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1164585543
  NPD
• Tri-Med Family Care, Inc

  dba North Georgia Health Care Center

  • Community/Retail Pharmacy
  • Ringgold, GA
  • NPI 1912144460
  NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1851811780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424003",
            "telephone_number": "706-935-6442",
            "fax_number": "706-935-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424003",
            "telephone_number": "706-841-0500",
            "fax_number": "423-464-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCUMBER",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "credential": "LCSW, LADAC, CADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Haynes McClure, OTD, OTR/L
• Jason McCurry, CF-SLP
• Hannah Caitlin McKenley
• Erika Joanne McLane, MSN, APRN, FNP-C
• Angela McNabb, COTA
• Maria Fidela Mendiola, OTR/L
• Metro Treatment of Georgia, LP (Northwest Georgia Treatment Center)
• Casey A Miller, PTA
• Madalyn M Mills
• Amber Brooke Moore

• Clinical Social Worker in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.