DONNA MATTHEWS LCSW
NPI 1396174967
Social Worker - Clinical in Baton Rouge, LA

NPI Status: Active since November 05, 2013

Contact Information

4615 GOVERNMENT ST
BUILDING 2
BATON ROUGE, LA
ZIP 70806
Phone: (225) 925-1906
Fax: (225) 925-1972

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  • Individual
  • Female
  • Years of Experience 24
  • Social Worker
  • Clinical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DONNA MATTHEWS

This page provides the complete NPI Profile along with additional information for Donna Matthews, a provider established in Baton Rouge, Louisiana with a medical specialization in Social Worker, focusing in clinical and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1396174967 assigned on November 2013. The practitioner's primary taxonomy code is 1041C0700X with license number 7746 (LA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1396174967
Provider Name
DONNA MATTHEWS LCSW
Gender
Female
Entity Type
Individual
Location Address
4615 GOVERNMENT ST BUILDING 2 BATON ROUGE, LA 70806
Location Phone
(225) 925-1906
Location Fax
(225) 925-1972
Mailing Address
4615 GOVERNMENT ST BUILDING 2 BATON ROUGE, LA 70806
Mailing Phone
(225) 925-4282
Mailing Fax
(225) 925-1972
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
11-05-2013
Last Update Date
11-05-2013
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A clinical social worker like Donna Matthews is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
7746
License State
LA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Community Blue 80/60 $3200 - POS
  • Community Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Community Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Donna Matthews is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Donna Matthews is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4880821503

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20131228000204

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $16.76 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 70806 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.06
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $16.76
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DONNA MATTHEWS LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396174967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186278912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 7 + 8 + 9 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1396174967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730242454 AMY K BERNATH
Individual
Social Worker4615 GOVERNMENT ST
BATON ROUGE, LA 70806
(225) 922-0445
1255481792 IRENITA B ASSENSOH MSW
Individual
Social Worker4615 GOVERNMENT ST
BATON ROUGE, LA 70806
(225) 922-0445
1396897567 LULA INGRAM RICHARDSON LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1841343571 DEBORAH S DUCKWORTH LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1285787978 BRENDA G SELF RN
Individual
Registered Nurse (Psychiatric/Mental Health)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1093868887 SHANTEL T JENKINS RN
Individual
Registered Nurse (Community Health)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1700939428 MARIANNE J HEBERT LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-4282
1528110459 LAURI L MOORE LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1265584270 PATRICIA W HAYES RN
Individual
Registered Nurse4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1467504498 GARY N SMITH LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1689726622 CLAUDIA C COCHRAN LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1013069988 NANCY B BOGAN LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1154474930 JAN H STEINKAMP LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1518010321 KAREN E RICARD LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1942353610 LYNETTE J ADAMS RN
Individual
Registered Nurse (Psychiatric/Mental Health)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1346393741 BLANCHE BIENVENU LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1437203304 OLLIE M PERKINS RN
Individual
Counselor (Addiction (Substance Use Disorder))4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1114071834 LUEREASA BARBER LCSW
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1376679225 CHERYL L STECKLEY
Individual
Social Worker (Clinical)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906
1407986409 DEIDRA M MOORE RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806
(225) 925-1906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396174967, enumerated in the NPI registry as an "individual" on November 05, 2013

The provider is located at 4615 Government St Building 2 Baton Rouge, La 70806 and the phone number is (225) 925-1906

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 24 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $67.06 and an average copayment of 16.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 05, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.