ANDREA CHRISTINE MATZYE (NPI# 1780206540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206540 |
| Entity Type | Individual |
| Full Name | ANDREA CHRISTINE MATZYE |
| Practice Address |
4930 Enterprise Dr Nw Warren OH 44481-8706 |
| Mailing Address |
1719 N Carnegie Ave Niles OH 44446-4005 |
| Practice Telephone | 3307870955 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDCIII.161947 | OH | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | S.1803026 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4930 ENTERPRISE DR NW |
| City | WARREN |
| State | OH |
| Zip Code | 44481-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766859 | Joseph Lydon Jr. | Anesthesiology | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2005-08-09 |
| 1932707304 | Wendy Tyler | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-10-16 |
| 1235740507 | Amanda Kehres | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-08-11 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1174159990 | Gregory Solomon | Social Worker | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-13 |
| 1215562186 | James Meyer | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-11 |
| 1144852864 | Gaye Tyhosky | Registered Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-02-11 |
| 1124667514 | Dalton Kinder | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-01-02 |
| 1144865627 | Laurissa Summerlin | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-08 |
| 1477197515 | Jennifer Perkinson | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1780036079 | Carol Henderson | Counselor | 320 High St Ne, Warren, OH 44481 | 2016-07-11 |
| 1801112081 | Michael F Potesta | Psychiatry & Neurology | 150 E Market St, Warren, OH 44481 | 2010-04-13 |
| 1568592624 | June Marie Mollic | Counselor | 150 E Market St, Warren, OH 44481 | 2007-03-07 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630777 | Chante Renee Jackson | Social Worker | 28082 Hoover Rd Apt 3, Warren, MI 48093-4166 | 2020-08-17 |
| 1871123638 | Resheta Sade Eggleston | Social Worker | 2833 Red Fox Run Dr Nw, Warren, OH 44485-1573 | 2020-01-21 |
| 1639711708 | Alexandra Ash | Social Worker | 6 Asylum Rd, Warren, RI 02885-1718 | 2019-10-10 |
| 1548818461 | Lauren Louise Wimer | Social Worker | 2282 Reeves Road Ne, Warren, OH 44483-4354 | 2019-09-04 |
| 1285287862 | Zenobia Kindle-davis | Social Worker | 22804 Sharrow Ave, Warren, MI 48089-2882 | 2019-07-22 |
| 1083180640 | Rakaiya Peterman | Social Worker | 138 Kenmore Ave Se, Warren, OH 44483-6157 | 2018-10-22 |
| 1700366614 | Jamila Ebony Provitt | Social Worker | 2671 Youngstown Rd Se, Warren, OH 44484-4404 | 2018-08-20 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1578051876 | Melissa Ann Emery | Social Worker | 160 Clifton Dr Ne Ste 1, Warren, OH 44484-1899 | 2018-04-23 |
| 1295239291 | Derrick L Mason | Social Worker | 605 Oriole Pl Sw, Warren, OH 44485-3638 | 2018-03-23 |
| Find all providers in WARREN | ||||
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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.