Susan A Matt, LCSW/ CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027861 Issued in NY

Practice address

242 Main St
Oneonta, NY 13820-2527

Phone

(607) 433-2343

Fax

(607) 433-6229

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Otsego

  • Land Ambulance
  • Cooperstown, NY
  • NPI 1801555214
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1891735429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BUSH RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265624",
            "telephone_number": "607-293-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202527",
            "telephone_number": "607-433-2343",
            "fax_number": "607-433-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATT",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "LCSW/ CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Imogene Bassett Hospital
• Mary Imogene Bassett Hospital
• Mary Imogene Bassett Hospital
• Marie Mathews, RN, IBCLC
• Yoshiro Matsuo, MD
• Matthew S. Curtis, O.D. PLLC
• Maureen Sullivan, Midwife, PLLC
• Julia Mazza, MS, RD
• James Douglas McChesney, MD
• Ryan McCloskey, LMSW

• Clinical Social Worker in Oneonta, NY
• Providers in Oneonta, 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 May 16, 2013; 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.