Phyllis Mate, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084098 Issued in NY

Practice address

41 E 11TH St
4TH Floor
New York, NY 10003-4602

Phone

(646) 599-4008

Fax

(212) 477-2040

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1922482306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 OCEAN PKWY",
            "address_2": "APT 10B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357960",
            "telephone_number": "718-373-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E 11TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034602",
            "telephone_number": "646-599-4008",
            "fax_number": "212-477-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATE",
        "first_name": "PHYLLIS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Boris Matatoff
• Arkadiy Matatov, RPH
• Dalit Jasmin Matatyaho, PH.D.
• Mate Implants LLC
• Kedar Mate, M.D.
• Svetlana Cristiana Matei, MD
• Alexander Thomas Matelski, MD
• Anna Mateo-Jerez, PHARM.D.
• Amelia Mateo
• Eugenio Cruz Mateo, MD,MPH&TM

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jul 15, 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.