| Tyrone Thomas Matthews, LCSW | |
|
9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 | |
| (704) 316-1650 | |
| (704) 316-1651 |
| Full Name | Tyrone Thomas Matthews |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 19 Years |
| Location | 9929 Rea Rd Ste 201, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043533045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.013557 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | C014359 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone Thomas Matthews, LCSW Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Tyrone Thomas Matthews, LCSW 9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 Ph: (704) 316-1650 |
Caroline Corzine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Amersham Ln, Waxhaw, NC 28173 Phone: 610-585-0850 | |
Constance Elaine Perkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Waxhaw Professional Park Dr Ste H, Waxhaw, NC 28173 Phone: 704-256-0305 Fax: 704-256-9968 | |
Rachel Marie Delany, MSW, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651 | |
Mrs. Alexandra Judith Lagunas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651 | |
Daune W Rodman, MSW, LCSW, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9203 Random Rd, Waxhaw, NC 28173 Phone: 704-999-3942 | |
Melissa Magee-kakouras, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216a W. North Main Street, Waxhaw, NC 28173 Phone: 704-560-4918 Fax: 704-243-1799 |