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THERESA MARIE MATOCHA LISCW
NPI 1639415300
Social Worker - Clinical in Eureka, CA

Active since December 27, 2012PECOS EnrolledAccepts Medicare Assignment
3015 HUBBARD LN, STE 7, EUREKA, CA 95501(802) 425-8101 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Marie Matocha Liscw NPPES

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

THERESA MARIE MATOCHA LISCW (NPI 1639415300) is an individual clinical provider in Eureka, California, licensed in Vermont (089.0089650) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1639415300
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA MARIE MATOCHACredential: LISCW
Location Address3015 HUBBARD LN, STE 7Eureka, CA 95501-4803
Mailing Address3015 Hubbard Ln, Ste 7Eureka, CA 95501-4803 · (802) 349-2202
Phone(802) 425-8101
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 27, 2012
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1639415300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VT · 089.0089650
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 089.0089650 (VT)
3015 HUBBARD LN, Eureka, CA 95501
Open in Google Maps ↗

Other Identifiers 1

Other089.0089650VT · State Of Vt

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Marie Matocha Liscw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476799008
PECOS Enrollment IDI20201027000961
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
189 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95501 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

DR. ANDREW G. RENOUF PH.D.
Psychologist
3015 HUBBARD LN, SUITE 6
EUREKA, CA 95501
Humboldt County (707) 269-7011
HEATHER BREEN
Marriage & Family Therapist
3015 HUBBARD LN, SUITE 7
EUREKA, CA 95501
Humboldt County (707) 442-6903
DAVID ZAJANC
Social Worker (Clinical)
3015 HUBBARD LN
EUREKA, CA 95501
Humboldt County (707) 273-8833

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 Theresa Matocha's NPI number?

The NPI number for Theresa Matocha is 1639415300. It was assigned to this individual provider in the NPPES registry on December 27, 2012.

Where is Theresa Matocha located?

Theresa Matocha practices at 3015 Hubbard Ln Ste 7, Eureka, CA 95501. The listed phone number is (802) 425-8101.

What is Theresa Matocha's specialty?

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

Is Theresa Matocha enrolled in Medicare?

Yes. Theresa Matocha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theresa Matocha was last updated on November 10, 2021. 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.