Individual provider Active NPI

Suzanne Matsko, LCSW-C

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1932228608
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11970 Issued in MD
Practice address
3635 Old Court Rd Ste 305
Pikesville, MD 21208-3907
Phone
(443) 717-0130
Fax
(443) 327-4753
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11970 MD Primary

Addresses

Primary practice location

3635 Old Court Rd Ste 305
Pikesville, MD 21208-3907

Mailing address

3635 Old Court Rd Ste 305
Pikesville, MD 21208-3907
Phone (443) 717-0130

Other identifiers 2

IdentifierTypeStateIssuer
105778200MedicaidMD
CX87-0001OtherMDCAREFIRST BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20051117000985 MD Practitioner - Clinical Social Worker 0244259364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Old Court Rd
Suite 305
Pikesville, MD 21208-3907
Phone (443) 717-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11970MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
For the Healing of the Nations LLC CurrentSince Mar 8, 2018 Accepting new patients
Peoples Community Health Center, Inc Past Accepting new patients
Peoples Community Health Center, Inc Past Accepting new patients

Locations

3635 Old Court Rd
Ste 305
Pikesville, MD 21208
Phone (443) 717-0130

Organizations & group practices 3

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1932228608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 305",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083907",
            "telephone_number": "443-717-0130",
            "fax_number": "443-327-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 305",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083907",
            "telephone_number": "443-717-0130",
            "fax_number": "443-327-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSKO",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105778200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "CX87-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.