Active NPI
Matthew McIver
- Clinical Social Worker
- Oakville, WA
National Provider Identifier
1902374507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61246149
- Practice address
- 420 Howanut Rd
Oakville, WA 98568-9659 - Phone
- (360) 709-1733
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC19802 | ME | |
| Clinical Social Worker | 1041C0700X | LW61246149 | WA | Primary |
Addresses
Primary practice location
420 Howanut Rd
Oakville, WA 98568-9659
Mailing address
420 Howanut Rd
Oakville, WA 98568-9659
Phone (360) 709-1733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC19802 | Other | ME | LICENSED CLINICAL SOCIAL WORKER |
| LW61246149 | Other | WA | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC19802 | ME | MD | Clinical Social Worker |
| LW61246149 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1902374507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 HOWANUT RD",
"city": "OAKVILLE",
"state": "WA",
"postal_code": "985689659",
"telephone_number": "360-709-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 HOWANUT RD",
"city": "OAKVILLE",
"state": "WA",
"postal_code": "985689659",
"telephone_number": "360-709-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCIVER",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC19802",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61246149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "LC19802",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED INDEPENDENT CLINICAL SOCIAL WORKER",
"identifier": "LW61246149",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.