Individual provider Active NPI

Roman Harper Matthews, CSW-INTERN

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1922580646
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13246-C Issued in NV
Practice address
1905 E 4TH St
Reno, NV 89512-3789
Phone
(775) 786-4673
NPI assigned
Aug 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 02376-I NV
Clinical Social Worker 1041C0700X 13246-C NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06790-C NV
Clinical Social Worker 1041C0700X IC-2402 NV

Addresses

Primary practice location

1905 E 4TH St
Reno, NV 89512-3789

Mailing address

580 W 5TH St
Reno, NV 89503-4407
Phone (775) 786-4673

Other practice location 1

205 S Pratt Ave
Carson City, NV 89701-4730
Phone (755) 882-3945

Other practice location 2

580 W 5th St
Reno, NV 89503-4407
Phone (775) 786-4673

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
02376-INVMDAddiction (Substance Use Disorder) Counselor
06790-CNVMDAddiction (Substance Use Disorder) Counselor
IC-2402NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada HIV Outpatient Program, Education and Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1922580646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034407",
            "telephone_number": "775-786-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Pratt Ave",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897014730",
            "country_code": "US",
            "telephone_number": "755-882-3945",
            "fax_number": "775-882-6126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034407",
            "country_code": "US",
            "telephone_number": "775-786-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROMAN",
        "middle_name": "HARPER",
        "credential": "CSW-INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "02376-I",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "13246-C",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06790-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.