Heather Sue Matovu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 24164 Issued in CA

Practice address

4550 Toledo Dr
San Diego, CA 92115-5929

Phone

(619) 578-9955

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1992968655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151523",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921751523",
            "telephone_number": "619-578-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 TOLEDO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155929",
            "telephone_number": "619-578-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVU",
        "first_name": "HEATHER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Matko, PTA
• Sama Matlob
• Nancy Anne Matloff, MSW
• Fadi Matloob
• Nana Matoba, M.D.
• Megan Marie Matrenec, D.O.
• Matrix Rehabilitation, Inc.
• Rebecca Matsch
• Natalie Matsche
• Shannon Marie Matsko, PHARM.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.