Nicole E Matero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW024218 Issued in PA

Practice address

11891 Neelyton Rd
Shade Gap, PA 17255-9247

Phone

(717) 942-9797

NPI assigned

Mar 28, 2018

Last updated

Feb 19, 2025By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Mindful Oasis CoGroup PAC ID 2163805474, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Mindful Oasis Co.

  • Mental Health Counselor
  • Shade Gap, PA
  • NPI 1225703226

  Clinical

  Medicare reassignment Care Compare group NPD
• Behavioral Health and Wellness Associates LLC

  • Clinical Psychologist
  • Lancaster, PA
  • NPI 1376403345
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1922503200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SOUTH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011211",
            "telephone_number": "717-891-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11891 NEELYTON RD",
            "city": "SHADE GAP",
            "state": "PA",
            "postal_code": "172559247",
            "telephone_number": "717-942-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERO",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "128886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Boston, LCSW
• Vikki Jean Higgins
• Carter Moss
• Lynelle Sechrist, RN
• Vanessa Mindful Oasis Stepler
• The Mindful Oasis Co.

• Clinical Social Worker in Shade Gap, PA
• Providers in Shade Gap, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.