Matthew Jesse Fishman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098545 Issued in NY

Practice address

158 W 124TH St FL 5
New York, NY 10027-4919

Phone

(914) 330-6212

NPI assigned

Jul 9, 2021

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Matthew Fishman LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1881496990
  NPD Authorized official

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1932770922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W 124TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W 124TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274919",
            "telephone_number": "914-330-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "MATTHEW",
        "middle_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Fishman
• Lisa Cori Fishman, M.D
• Loren M Fishman, MD
• Manuel Fishman, MD
• Mary Beth Fishman
• Rachel Fishman, OTR/L
• Rebecca Lynn Fishman, OTR/L
• Fishman, Roth, Chase, LLP (Smilesny)
• Sarah Fishman, M.D. PH.D
• Sarah Anna Fishman, BSN, FNP-BC

• 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 Dec 9, 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.

Verify at the official NPI Registry.