MATTHEW ANTHONY CAPEZZUTO (LISW) – Clinical Psychologist, NPI 1609972017

MATTHEW ANTHONY CAPEZZUTO (LISW) is a healthcare provider. based in Fairview park, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I7623 (OH). The NPI Number for MATTHEW ANTHONY CAPEZZUTO (LISW) is 1609972017

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW ANTHONY CAPEZZUTO (LISW)
NPI
1609972017
Phone
(440) 734-4037
Address
22540 LORAIN RD
Enumeration Date
15 September 2006
Last Update Date
15 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407344037
Graduation Year
2006 (20 years ago)
PAC ID
3173521606
Group Practice PAC ID
5092713529
Professional Enrollment ID
I20100324000813
Address ID
OH441262212FA22540RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for MATTHEW ANTHONY CAPEZZUTO (LISW)

  • 22540, Lorain Road, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    FAIRVIEW PARK, OH 441262212

    Phone: (440) 734-4037

    Fax: (440) 734-4710

    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: 2010-03-24

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
I20100324000813IClinical Social WorkerOHTBD

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 44126)

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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: 5092713529View full group profile
NameSpecialtyState
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Is there an official ID for MATTHEW ANTHONY CAPEZZUTO (LISW) in U.S. healthcare records?
The official identifier for MATTHEW ANTHONY CAPEZZUTO (LISW) is NPI 1609972017.
Active or inactive — what applies to MATTHEW ANTHONY CAPEZZUTO (LISW)?
You should see MATTHEW ANTHONY CAPEZZUTO (LISW) as active in CMS-hosted NPPES data.
How would a patient describe MATTHEW ANTHONY CAPEZZUTO (LISW)'s focus?
For MATTHEW ANTHONY CAPEZZUTO (LISW), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is MATTHEW ANTHONY CAPEZZUTO (LISW) associated with Fairview Park?
Public fields place MATTHEW ANTHONY CAPEZZUTO (LISW) around Fairview Park, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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