Active NPI
Matthew Scott Ditty, MSW, LCSW
- Clinical Social Worker
- Collegeville, PA
National Provider Identifier
1952581241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015032
- Practice address
- 555 2ND Ave
Ste D-300
Collegeville, PA 19426-3600 - Phone
- (610) 489-6240
- NPI assigned
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW015032 | PA | Primary |
Addresses
Primary practice location
555 2ND Ave
Ste D-300
Collegeville, PA 19426-3600
Mailing address
500 Washington Ave
Havertown, PA 19083-3516
Phone (215) 370-2821
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW015032 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology & Counseling Associates, PC | Past | Accepting new patients | |
| The Ebright Collaborative, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Wilmington, DE
- NPI 1982039509
-
- Clinical Psychologist
- Pottstown, PA
- NPI 1750303368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1952581241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WASHINGTON AVE",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833516",
"telephone_number": "215-370-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 2ND AVE",
"address_2": "STE D-300",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263600",
"telephone_number": "610-489-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTY",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.