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MS. JUANITA C MATLOCK LCSW
NPI 1144805151
Social Worker - Clinical in East Chicago, IN

Active since March 11, 2021PECOS Enrolled
4321 FIR ST, EAST CHICAGO, IN 46312(219) 392-7469 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Juanita C Matlock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JUANITA C MATLOCK LCSW (NPI 1144805151) is an individual clinical provider in East Chicago, Indiana, licensed in Illinois (149.022186) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Station.

NPPES Registry Identity

NPI1144805151
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JUANITA C MATLOCKCredential: LCSW
Location Address4321 FIR STEast Chicago, IN 46312
Mailing Address4321 Fir StEast Chicago, IN 46312 · (219) 392-7469
Phone(219) 392-7469
Sole ProprietorYes
Enumeration DateMarch 11, 2021
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedMarch 11, 2021
✔ NPI 1144805151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.022186
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4321 FIR ST, East Chicago, IN 46312
Open in Google Maps ↗

Secondary Practice Location 1

Location 1919 E 28th AveLake Station, IN 46405-1509 · Phone (219) 781-6231

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Juanita C Matlock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Juanita Matlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
603 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Indiana enrollment
  • 77 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID KUMPEL CRNA
Nurse Anesthetist, Certified Registered
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-7062
GERALD DINO PT
Physical Therapist
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-7400
MARY HELEN JURICH AUD
Audiologist
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 703-2460
DR. GEOFFREY RITTER PT, DPT
Physical Therapist
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-7400
REGENCY HOSPITAL OF NORTHWEST INDIANA, LLC
Long Term Care Hospital
4321 FIR ST, 4TH FLOOR
EAST CHICAGO, IN 46312
Lake County (219) 392-7790
KAI Y. HSU MD
Emergency Medicine
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-1700
STEPHANIE M ROGOWSKI AUD
Audiologist
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-7671
JEFFREY B. DUBNOW MD
Emergency Medicine
4321 FIR ST
EAST CHICAGO, IN 46312
Lake County (219) 392-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Matlock's NPI number?

The NPI number for Juanita Matlock is 1144805151. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Juanita Matlock located?

Juanita Matlock practices at 4321 Fir St, East Chicago, IN 46312. The listed phone number is (219) 392-7469.

What is Juanita Matlock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Juanita Matlock enrolled in Medicare?

Yes. Juanita Matlock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juanita Matlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Matlock reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juanita Matlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juanita Matlock accept?

Health plans from Anthem Blue Cross and Blue Shield list Juanita Matlock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juanita Matlock was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.