ANTHONY ALAN MATSON (MSW) – Clinical Social Worker, NPI 1215227129

ANTHONY ALAN MATSON (MSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 6801092929 (MI). The NPI Number for ANTHONY ALAN MATSON (MSW) is 1215227129

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY ALAN MATSON (MSW)
NPI
1215227129
Phone
(616) 776-0891
Address
330 EASTERN AVE SE
Enumeration Date
12 April 2011
Last Update Date
12 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164597215
Graduation Year
2011 (15 years ago)
PAC ID
6901196328
Group Practice PAC ID
2668362393
Professional Enrollment ID
I20160526000251
Address ID
MI495055904GR1115XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for ANTHONY ALAN MATSON (MSW)

  • 330 EASTERN AVE SE

    GRAND RAPIDS, MI 495034737

    Phone: (616) 776-0891

    Fax: (616) 233-0718

    Type: Mailing

  • 200 EASTERN AVE SE

    GRAND RAPIDS, MI 495034735

    Phone: (616) 776-0891

    Fax: (616) 233-0718

    Type: Location

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: 2016-05-26

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
I20160526000251IClinical Social WorkerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

ANTHONY ALAN MATSON (MSW) performs procedures in CLINICAL SOCIAL WORKER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CLINICAL SOCIAL WORKERMI90853Group psychotherapy5712

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668362393View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How is ANTHONY ALAN MATSON (MSW) identified in CMS data?
CMS-hosted NPPES data lists ANTHONY ALAN MATSON (MSW) with NPI 1215227129.
Does CMS list ANTHONY ALAN MATSON (MSW) as active?
Yes — ANTHONY ALAN MATSON (MSW) is active in the NPI listing used on this page.
What is ANTHONY ALAN MATSON (MSW)'s specialty?
The listing groups ANTHONY ALAN MATSON (MSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does ANTHONY ALAN MATSON (MSW) list a practice location?
Patients near Grand Rapids, Michigan may find ANTHONY ALAN MATSON (MSW) in results; validate coverage separately.
Is the information about ANTHONY ALAN MATSON (MSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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