Lindsay Marie Matti, MSW. LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25692 Issued in MN

Practice address

1702 Miller Trunk Hwy Ste 214
Duluth, MN 55811-4448

Phone

(218) 727-3888

NPI assigned

May 11, 2017

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsay Marie Jackson Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Two Rivers Counseling LLCGroup PAC ID 7416322268, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

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.

• Two Rivers Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1093486722
  Medicare reassignment Care Compare group NPD
• Family Chiropractic Care Inc.

  • Chiropractor
  • Moose Lake, MN
  • NPI 1154759850
  NPD
• Northern Waters Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
  • NPI 1316445455
  NPD
• Shelley Ann Shaffer

  dba Shaffer Professional Services

  • Mental Health Counselor
  • Moose Lake, MN
  • NPI 1275147266

  Clinical

  NPD
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Cloquet, MN
  • NPI 1114048527
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1962938704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202959",
            "telephone_number": "218-349-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 MILLER TRUNK HWY STE 214",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114448",
            "telephone_number": "218-727-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Arrowhead Ln",
            "address_2": "PO Box 463",
            "address_purpose": "LOCATION",
            "city": "Moose Lake",
            "state": "MN",
            "postal_code": "55767",
            "country_code": "US",
            "telephone_number": "218-499-5653",
            "fax_number": "218-485-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTI",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "MSW. LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JACKSON",
            "middle_name": "MARIE",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matheny Therapy & Consulting, LLC
• Cindy Lee Matheson
• Kate Elizabeth Matson, LICSW
• Moriah M Mattevi, M.A., CCC-SLP
• Matthew D Jugovich DDS PA
• Bonnie J Matuseski, CRNA
• Mark Jay Matuseski
• Tami Joy Matuszak, APRN, CNP
• Rachel Renee Maudal, MD
• Moriah Florence Maunu, DO

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.