Organization Active NPI

Matthias Stutz & Associates S.C.

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1881639672
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6113-123 Issued in WI
Legal business name
MATTHIAS STUTZ & ASSOCIATES S.C.
Practice address
1219 N Cass St
Milwaukee, WI 53202-2770
Phone
(414) 221-0022
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Michael John Matthias, LCSWNPI 1417991936
Title
Vice President
Phone
(414) 221-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6113-123 WI Primary

Addresses

Primary practice location

1219 N Cass St
Milwaukee, WI 53202-2770

Mailing address

1219 N Cass St
Milwaukee, WI 53202-2770
Phone (414) 221-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040306000132 WI Part B Supplier - Clinic/Group Practice 7315835873 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

930 E Knapp St
Ste 21
Milwaukee, WI 53202
Phone (414) 221-0022

1201 N Prospect Ave
Milwaukee, WI 53202
Phone 41422100223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1881639672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-221-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-221-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHIAS STUTZ & ASSOCIATES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "MATTHIAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-221-0022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6113-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.