VICKIE E MATA (NPI# 1285199539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285199539 |
| Entity Type | Individual |
| Full Name | VICKIE E MATA |
| Practice Address |
100 Willow St Lynn MA 01901-1139 |
| Practice Telephone | 7815816600 |
| Practice Fax Number | 7815812209 |
| Mailing Telephone | 7815816600 |
| Mailing Fax Number | 7815812209 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1171M00000X | 05 |
| Street Address |
100 WILLOW ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104263037 | Michael Anthony Orlando | Counselor | 100 Willow St, Lynn, MA 01901-1139 | 2013-06-02 |
| 1063013118 | Chimere C Neboh | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-11-05 |
| 1902405558 | Matt Sullivan | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-10-23 |
| 1730792961 | Caretha E. Anderson | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-08-27 |
| 1710511324 | Alisa Anderson | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-02-24 |
| 1538706957 | Robert Lee Wallace Sr. | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2019-12-04 |
| 1972096162 | Bethany J Turner | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2018-06-12 |
| 1316443369 | Kerry-lynne Jacobs-thompson | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2018-03-30 |
| 1104334291 | Shelley Stamoulis | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2018-01-11 |
| 1790215465 | Akinwumi Akinsusi | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277137 | Danielle Marie Rossewey | Case Manager/Care Coordinator | 555 Western Ave, Lynn, MA 01904-3226 | 2019-10-23 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1881964054 | Patrick R Byrne | Case Manager/Care Coordinator | 91 Liberty St, Lynn, MA 01902-4725 | 2012-01-05 |
| 1962626994 | Maisha Latimer-sport | Case Manager/Care Coordinator | 11 Circle Avenue, Lynn, MA 01905 | 2007-04-12 |
| 1063013118 | Chimere C Neboh | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-11-05 |
| 1902405558 | Matt Sullivan | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-10-23 |
| 1730792961 | Caretha E. Anderson | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-08-27 |
| 1710511324 | Alisa Anderson | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2020-02-24 |
| 1538706957 | Robert Lee Wallace Sr. | Case Manager/Care Coordinator | 100 Willow St, Lynn, MA 01901-1139 | 2019-12-04 |
| 1326682915 | Kristin Moccia | Case Manager/Care Coordinator | 91 Liberty St, Lynn, MA 01902-4725 | 2019-11-06 |
| Find all providers in LYNN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.