Individual provider Active NPI

Matthew Ratliff

  • Social Worker
  • Idaho Falls, ID
National Provider Identifier
1972441418
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8921911 Issued in ID
Practice address
254 E St Ste B
Idaho Falls, ID 83402-3527
Phone
(208) 529-1854
Fax
(208) 523-5974
NPI assigned
Mar 24, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8921911 ID Primary

Addresses

Primary practice location

254 E St Ste B
Idaho Falls, ID 83402-3527

Mailing address

254 E St Ste B
Idaho Falls, ID 83402-3527
Phone (208) 529-1854

Other practice location 1

33 Madison Professional Park
Rexburg, ID 83440-2057
Phone (208) 514-5288

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

LicenseStateTypeSpecialty
8921911IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
D7 Treatment PastSince May 19, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1972441418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023527",
            "telephone_number": "208-529-1854",
            "fax_number": "208-523-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 E ST STE B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023527",
            "telephone_number": "208-529-1854",
            "fax_number": "208-523-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Madison Professional Park",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834402057",
            "country_code": "US",
            "telephone_number": "208-514-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "8921911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.