Martin Harston Matheson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2930773501 Issued in UT

Practice address

5455 River Run Dr
Provo, UT 84604-7726

Phone

(801) 226-2550

Fax

(801) 226-8298

NPI assigned

Aug 24, 2006

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Scenic View Academy, Inc.

  • Psychiatric Residential Treatment Facility
  • Provo, UT
  • NPI 1750847000
  NPD (past)
• Wasatch Behavioral Health Special Service District

  • Community/Behavioral Health Agency
  • Provo, UT
  • NPI 1356357115
  NPD (past)
• Wasatch Behavioral Health Special Service District

  • Clinical Medical Laboratory
  • Orem, UT
  • NPI 1669257556
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1952418865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726",
            "telephone_number": "801-226-2550",
            "fax_number": "801-226-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726",
            "telephone_number": "801-226-2550",
            "fax_number": "801-226-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "MARTIN",
        "middle_name": "HARSTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "2930773501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005742626",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kali Massey, SSW
• Shalai Matagi
• Abigail Belle Mateer, LCSW
• Tavia Mathers, A.P.R.N
• Evan J Matheson, M.D.
• Nina Faye Matt
• Edward Matterfis, PHARMD
• Christopher William Matteson, M.S., LAMFT
• Blake Lynn Matthews, DDS
• Bradford K Matthews, MD

• Clinical Social Worker in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.