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MATTHEW J WADSWORTH LCSW
NPI 1972759017
Social Worker - Clinical in Fort Hall, ID

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment
717 MISSION ROAD, FORT HALL, ID 83203(208) 237-5631(208) 237-5796 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew J Wadsworth Lcsw NPPES

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

MATTHEW J WADSWORTH LCSW (NPI 1972759017) is an individual clinical provider in Fort Hall, Idaho, licensed in Idaho (LCSW-31281) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1972759017
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW J WADSWORTHCredential: LCSW
Location Address717 MISSION ROADFort Hall, ID 83203-0306
Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 237-5631 · Fax (208) 237-5796
Phone(208) 237-5631
Fax(208) 237-5796
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 8, 2008
Last NPPES UpdateJanuary 9, 2013
✔ NPI 1972759017 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 ID · LCSW-31281
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.
717 MISSION ROAD, Fort Hall, ID 83203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew J Wadsworth Lcsw 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 ID4981733516
PECOS Enrollment IDI20161219000337
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 Matthew Wadsworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Mental Health LLC
1,875 mi
Mental Health (Including Community Mental Health Center)
154 FAIRBANKS DR
Valdez, AK 99686
  • Reassigned Medicare billing, Alaska enrollment
  • 5 clinicians in this Medicare group
NPI 1659118685 (907) 835-9355
City Of Valdez
1,875 mi
Mental Health (Including Community Mental Health Center)
911 MEALS AVENUE
Valdez, AK 99686
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1962525097 (907) 835-2838
Providence Health & Services Washington
1,997 mi
Community/Behavioral Health
1818 E REZANOF DR
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1477563344 (907) 481-2400

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 83203 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 6

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

MISS CHANTELLE E BOWMAN PA-C
Physician Assistant
717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203
Bingham County (208) 238-5435
MR. THAYNE ANDERSEN LCSW
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 237-5631
DANIEL JEROME HALL LCSW
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 237-5631
SHOSHONE BANNOCK TRIBES, INC
Clinic/Center
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-2400
NOT-TSOO GAH-NEE INDIAN HEALTH CENTER
Clinic/Center (Multi-Specialty)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-5400
SHOSHONE BANNOCK TRIBES
Podiatrist
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-5421

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 Matthew Wadsworth's NPI number?

The NPI number for Matthew Wadsworth is 1972759017. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Matthew Wadsworth located?

Matthew Wadsworth practices at 717 Mission Road, Fort Hall, ID 83203. The listed phone number is (208) 237-5631.

What is Matthew Wadsworth's specialty?

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

Is Matthew Wadsworth enrolled in Medicare?

Yes. Matthew Wadsworth 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.

Which organizations bill Medicare for Matthew Wadsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wadsworth reassigns Medicare benefits to 3 organizations: Sound Mental Health LLC (Valdez, AK), City Of Valdez (Valdez, AK) and Providence Health & Services Washington (Kodiak, AK). 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 Matthew Wadsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Wadsworth accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Matthew Wadsworth 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 Matthew Wadsworth was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.