Matthew George, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1610 Issued in KS

Practice address

345 Riverview St
Suite LL2
Wichita, KS 67203-4200

Phone

(316) 262-5253

Fax

(316) 262-7202

NPI assigned

Apr 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bert Nash Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, KS
  • NPI 1841281805
  Medicare reassignment NPD
• Gracemed Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1184691693
  Medicare reassignment NPD
• Healthcore Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1033218565
  Medicare reassignment
• Gracemed Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1043646870
  NPD
• First Step Counseling Inc.

  • Community/Behavioral Health Agency
  • Wichita, KS
  • NPI 1659564771
  NPD (past)
• Firststep Counseling, Inc.

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1578529301

  Clinical

  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1992760466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RIVERVIEW ST",
            "address_2": "SUITE LL2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034200",
            "telephone_number": "316-262-5253",
            "fax_number": "316-262-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 RIVERVIEW ST",
            "address_2": "SUITE LL2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034200",
            "telephone_number": "316-262-5253",
            "fax_number": "316-262-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MATTHEW",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Gentry
• Alison M George, LPC
• Austin George, MD
• Earl F George, MD
• Gregory George, MD
• Nancy George, PA
• Patrick Christopher George
• Rachel George
• Roxie George
• Susan R. George, PA

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.