Atalia M Lebron Matias, CLINICAL SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15558 Issued in PR

Practice address

350 C 11 ER Piso
Urb Villa Rosa 1/Oficina
Guayama, PR 00784

Phone

(682) 375-6545

NPI assigned

Jun 18, 2021

Last updated

Sep 16, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1932778503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VILLAS DE JERUSALEN",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007232422",
            "telephone_number": "682-375-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 C 11 ER PISO",
            "address_2": "URB VILLA ROSA 1/OFICINA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "682-375-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON MATIAS",
        "first_name": "ATALIA",
        "middle_name": "M",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39838400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lebron Santiago Management Services Inc
• Jose Luis Lebron Velazquez, MD
• Leslie J Ledee Lozada, SLP.D, CCC-SLP
• Nikima Ledee-Bazan, OTR/L
• Ashley Leon

• Clinical Social Worker in Guayama, PR
• Providers in Guayama, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.