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IVAN A MATTHEW JR. LCSW
NPI 1245977768
Social Worker - Clinical in Rochester, NY

Active since May 16, 2022PECOS Enrolled
223 MYSTIC LN, ROCHESTER, NY 14623(585) 576-4830 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivan A Matthew Jr. Lcsw NPPES

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

IVAN A MATTHEW JR. LCSW (NPI 1245977768) is an individual clinical provider in Rochester, New York, licensed in New York (084938) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245977768
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameIVAN A MATTHEW JR.Credential: LCSW
Location Address223 MYSTIC LNRochester, NY 14623-5448
Mailing Address223 Mystic LaneRochester, NY 14623-5448 · (585) 576-4830
Phone(585) 576-4830
Sole ProprietorYes
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1245977768 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 NY · 084938
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.
223 MYSTIC LN, Rochester, NY 14623
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1223 Mystic LnRochester, NY 14623-5448 · Phone (585) 576-4830
Location 2360 Wellington AveRochester, NY 14619-1210 · Phone (585) 358-0512 · Fax (585) 861-6827

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan A Matthew Jr. 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 Ivan Matthew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stephanie Jackman Lcsw PLLC
5.9 mi
Clinical
360 WELLINGTON AVE
Rochester, NY 14619
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1427663269 (585) 358-6827

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 14623 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Ivan Matthew's NPI number?

The NPI number for Ivan Matthew is 1245977768. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Ivan Matthew located?

Ivan Matthew practices at 223 Mystic Ln, Rochester, NY 14623. The listed phone number is (585) 576-4830.

What is Ivan Matthew's specialty?

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

Is Ivan Matthew enrolled in Medicare?

Yes. Ivan Matthew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivan Matthew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Matthew reassigns Medicare benefits to Stephanie Jackman Lcsw PLLC (Rochester, NY). 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 Ivan Matthew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivan Matthew was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.