KIM A DEMATTEO (LCSW) – Clinical Social Worker, NPI 1467466979

KIM A DEMATTEO (LCSW) is a healthcare provider. based in Essex, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 002242 (CT). The NPI Number for KIM A DEMATTEO (LCSW) is 1467466979

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
KIM A DEMATTEO (LCSW)
NPI
1467466979
Phone
(860) 767-1517
Address
28 MAIN ST
Enumeration Date
28 July 2006
Last Update Date
4 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604349438
Graduation Year
1982 (44 years ago)
PAC ID
5496921215
Professional Enrollment ID
I20111228000786
Address ID
CT064261174ES28XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for KIM A DEMATTEO (LCSW)

  • 28, Main Street, Byfield, Newbury, Essex County, Massachusetts, 01883, United States

    ESSEX, CT 06426

    Phone: (860) 767-1517

    Fax: (860) 767-7703

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111228000786IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17111$0
View full utilization report →

Insurance plans in this area (ZIP 06426)

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Reviews

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Frequently asked questions

Is KIM A DEMATTEO (LCSW) listed with a National Provider Identifier?
Yes — KIM A DEMATTEO (LCSW) has NPI 1467466979 on file in the registry.
Would KIM A DEMATTEO (LCSW) appear as active to a payer?
You can treat KIM A DEMATTEO (LCSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KIM A DEMATTEO (LCSW)?
At a glance, KIM A DEMATTEO (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIM A DEMATTEO (LCSW)?
Travel planning: use Essex, Connecticut as the reference point for KIM A DEMATTEO (LCSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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