ANDREW JAMES MATUSIAK
NPI 1801331640
Social Worker - Clinical in Thomaston, CT

Active since January 04, 2017PECOS Enrolled
143 PINE HILL RD, UNIT 17A, THOMASTON, CT 06787(860) 921-8909 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2019, Jan 4, 2017 (2 updates tracked since 2017).

About Andrew James Matusiak NPPES

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

ANDREW JAMES MATUSIAK (NPI 1801331640) is an individual clinical provider in Thomaston, Connecticut, licensed in Connecticut (010494) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2016).

NPPES Registry Identity

NPI1801331640
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDREW JAMES MATUSIAK
Location Address143 PINE HILL RD, UNIT 17AThomaston, CT 06787-1955
Mailing Address143 Pine Hill Rd, Unit 17aThomaston, CT 06787-1955 · (860) 921-8909
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2016
Enumeration DateJanuary 4, 2017
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
✔ NPI 1801331640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CT · 010494✔ Licensed in CT · 3249
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.
143 PINE HILL RD, Thomaston, CT 06787

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew James Matusiak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638419542
PECOS Enrollment IDI20190312002536
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

3

Medicare enrollment records show Andrew Matusiak reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
25 ROYAL CREST DR
Prospect, CT 06712
  • Reassigned Medicare billing, Connecticut enrollment
  • 75 clinicians in this Medicare group
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
Community/Behavioral Health
30 PECK RD STE 1103B
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 7 clinicians in this Medicare group

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 06787 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 Andrew Matusiak's NPI number?

The NPI number for Andrew Matusiak is 1801331640. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Andrew Matusiak located?

Andrew Matusiak practices at 143 Pine Hill Rd Unit 17A, Thomaston, CT 06787. The listed phone number is (860) 921-8909.

What is Andrew Matusiak's specialty?

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

Is Andrew Matusiak enrolled in Medicare?

Yes. Andrew Matusiak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Matusiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Matusiak reassigns Medicare benefits to 3 organizations: Sunrise Psychological Services LLC (Prospect, CT), Step Up Care PC LLC (Danielson, CT) and Challenging Minds LLC (Torrington, CT). 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 Andrew Matusiak'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 Andrew Matusiak was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.