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MICHELLE M MATTHEWS LCSW
NPI 1528100641
Social Worker - Clinical in Kenosha, WI

Active since February 13, 2007PECOS Enrolled
4109 67TH ST, KENOSHA, WI 53142(262) 652-9830(262) 652-2931 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle M Matthews Lcsw NPPES

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

MICHELLE M MATTHEWS LCSW (NPI 1528100641) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (7334-123) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1528100641
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE M MATTHEWSCredential: LCSW
Location Address4109 67TH STKenosha, WI 53142-3836
Mailing Address3341 N 85th StMilwaukee, WI 53222-3708 · (414) 837-5227
Phone(262) 652-9830
Fax(262) 652-2931
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 20, 2015
✔ NPI 1528100641 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 WI · 7334-123
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.
4109 67TH ST, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 1

Medicaid43739800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle M Matthews Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385058742
PECOS Enrollment IDI20210126000715
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 Reassignments

2

Medicare enrollment records show Michelle Matthews reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakwood Clinical Associates, Ltd
Same address
Mental Health (Including Community Mental Health Center)
4109 67TH ST
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1447289434 (262) 652-9830
Prohealth Medical Group Inc
27 mi
Internal Medicine
S69W15636 JANESVILLE RD
Muskego, WI 53150
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1114068970 (262) 928-7000

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 53142 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 19

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

MR. NYLES ANTONY JACKSON MSW, APSW, SAC-IT
Social Worker
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
JEANNIE SEEFELDT CSW, CADC III
Counselor (Addiction (Substance Use Disorder))
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
DALE HILSON
Counselor (Mental Health)
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
JANE POHL MSW
Social Worker (Clinical)
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
AMY B ANDERSON MSW
Social Worker (Clinical)
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
SAMANTHA ANN STEPHENSON APSW
Social Worker
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
CARRIE A LIU CSAC
Counselor (Addiction (Substance Use Disorder))
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830
ANTIGONA BAJRAKTARI APSW
Social Worker
4109 67TH ST
KENOSHA, WI 53142
Kenosha County (262) 652-9830

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 Michelle Matthews's NPI number?

The NPI number for Michelle Matthews is 1528100641. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Michelle Matthews located?

Michelle Matthews practices at 4109 67th St, Kenosha, WI 53142. The listed phone number is (262) 652-9830.

What is Michelle Matthews's specialty?

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

Is Michelle Matthews enrolled in Medicare?

Yes. Michelle Matthews is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Matthews reassigns Medicare benefits to 2 organizations: Oakwood Clinical Associates, Ltd (Kenosha, WI) and Prohealth Medical Group Inc (Muskego, WI). Each 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 Michelle Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Matthews accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Michelle Matthews 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 Michelle Matthews was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.