MEDICARE: CLAUDIA MATOS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	1041C0700X	Clinical Social Worker	SW14925	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265781611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA MATOS LCSW

Provider Business Mailing Address
First Line	:	280 N WILDERNESS PT
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-5273
Country	:	US
Telephone Number	:	407-729-6832
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 TREEMONTE DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7977
Country	:	US
Telephone Number	:	800-614-4124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	03/03/2021

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Directions to “ CLAUDIA MATOS LCSW” Practice Location

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