MEDICARE: MRS. MATTY GROUNDS

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	LCSW63306	CA

General Provider Information

NPI Number	:	1538330261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MATTY GROUNDS

Provider Business Mailing Address
First Line	:	18818 US HIGHWAY 18
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-2323
Country	:	US
Telephone Number	:	760-995-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	18818 US HIGHWAY 18
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-2323
Country	:	US
Telephone Number	:	760-995-8846
Fax Number	:

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

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	10/09/2024

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1598969339 — DR. JOE YOSUP KWON M.D.
Practice Location Address:

18818 US HIGHWAY 18
APPLE VALLEY, CA
92307-2323

Practice Phone: 760-995-8800
Practice Fax:

1881533784 — DAYLINE DOLOREZ PEREZ
Practice Location Address:

18818 US HIGHWAY 18
APPLE VALLEY, CA
92307-2323

Practice Phone: 760-995-8903
Practice Fax:

1003757642 — MR. GILBERT R LOPEZ JR. ACSW
Practice Location Address:

18818 OUTER HWY 18
APPLE VALLEY, CA
92307-2323

Practice Phone: 888-743-1478
Practice Fax:

1003026543 — MRS. BRENDA K. LEE SIMON AMFT
Practice Location Address:

18818 OUTER HWY 18
APPLE VALLEY, CA
92307-2323

Practice Phone: 760-995-8868
Practice Fax:

1740481613 — COUNTY OF SAN BERNARDINO
Practice Location Address:

18818 US HIGHWAY 18
APPLE VALLEY, CA
92307-2323

Practice Phone: 760-995-8868
Practice Fax: 760-995-8937

Directions to “ MRS. MATTY GROUNDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.