Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alicja Matusiak, LISW-S, CNP

Individual provider Clinical Social Worker · NPI 1174757678

Mrs. Alicja Matusiak, LISW-S, CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2014, 12 years ago. Practices with Holistic Wellness Solutions LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2009
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone: (614) 371-2303
Fax: (800) 905-9950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.16032 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0800345 (OH)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 359101 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence COA.16032-NP (OH)

Record details

NPI number1174757678
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , CNP
Sole proprietorYes
NPI enumeratedMay 12, 2009
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Holistic Wellness Solutions Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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