Active NPI
Matthew Ryan Bloss, LSW
- Social Worker
- Mayfield, PA
National Provider Identifier
1972199701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW137522
- Practice address
- 1300 Old Plank Rd
Mayfield, PA 18433-1973 - Phone
- (570) 281-6222
- NPI assigned
- Dec 16, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137522 | PA | Primary |
Addresses
Primary practice location
1300 Old Plank Rd
Mayfield, PA 18433-1973
Mailing address
238 Spring Mountain Dr
Zion Grove, PA 17985-9313
Phone (570) 590-8765
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 |
|---|---|---|---|
| SW137522 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1972199701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 SPRING MOUNTAIN DR",
"city": "ZION GROVE",
"state": "PA",
"postal_code": "179859313",
"telephone_number": "570-590-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 OLD PLANK RD",
"city": "MAYFIELD",
"state": "PA",
"postal_code": "184331973",
"telephone_number": "570-281-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOSS",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.