Organization Active NPI

Beth W Matthews

  • Clinical Social Worker
  • Plymouth, MN
National Provider Identifier
1861867376
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24589 Issued in MN
Legal business name
BETH W MATTHEWS
Practice address
1700 Niagara LN N
Suite 201
Plymouth, MN 55447-4911
Phone
(763) 489-8430
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization
PREGNANCY & POSTPARTUM SUPPORT MINNESOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Beth W Matthews, LICSW
Title
Professional Member
Phone
(763) 489-8430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 24589 MN Primary

Addresses

Primary practice location

1700 Niagara LN N
Suite 201
Plymouth, MN 55447-4911

Mailing address

1700 Niagara LN N
Suite 201
Plymouth, MN 55447-4739
Phone (763) 489-8430

National Provider Directory

National Provider Directory
Part of
Pregnancy and Postpartum Support Minnesota

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1861867376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NIAGARA LN N",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474739",
            "telephone_number": "763-489-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NIAGARA LN N",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474911",
            "telephone_number": "763-489-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH W MATTHEWS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREGNANCY & POSTPARTUM SUPPORT MINNESOTA",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROFESSIONAL MEMBER",
        "authorized_official_telephone_number": "763-489-8430",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.