MS. LORA J MATTIACCIO LCSW
NPI 1467524173
Social Worker in Ridgewood, NJ

Q: What is Lora Mattiaccio's NPI number?

The NPI number for Lora Mattiaccio is 1467524173. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Lora Mattiaccio's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Lora Mattiaccio was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 15, 2006PECOS Enrolled

120 CHESTNUT STREET, RIDGEWOOD, NJ 07450(201) 444-3550(301) 652-1613 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Lora J Mattiaccio Lcsw NPPES

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

MS. LORA J MATTIACCIO LCSW (NPI 1467524173) is an individual social worker in Ridgewood, New Jersey and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1467524173

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. LORA J MATTIACCIOCredential: LCSW

Location Address120 CHESTNUT STREETRidgewood, NJ 07450

Mailing Address120 Chestnut StreetRidgewood, NJ 07450 · (201) 444-3550 · Fax (301) 652-1613

Phone(201) 444-3550

Fax(301) 652-1613

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467524173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

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.

120 CHESTNUT STREET, Ridgewood, NJ 07450

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lora J Mattiaccio Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628372083

PECOS Enrollment IDI20160929000692

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.