Active NPI
Beth W Matthews
- Clinical Social Worker
- Plymouth, MN
National Provider Identifier
1861867376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24589
- 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 MINNESOTA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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.