Active NPI
Vera Ann Matthews
- Social Worker
- Lithia Springs, GA
National Provider Identifier
1003622366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008000
- Practice address
- 1573 Brunswick St
Lithia Springs, GA 30122-6430 - Phone
- (404) 573-2503
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0903003873 | VA | |
| Social Worker | 104100000X | LG200002635 | DC | |
| Social Worker | 104100000X | MSW008000 | GA | Primary |
Addresses
Primary practice location
1573 Brunswick St
Lithia Springs, GA 30122-6430
Mailing address
1573 Brunswick St
Lithia Springs, GA 30122-6430
Phone (404) 573-2503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200002635 | DC | MD | Social Worker |
| MSW008000 | GA | MD | Social Worker |
| 0903003873 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1003622366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 BRUNSWICK ST",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226430",
"telephone_number": "404-573-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 BRUNSWICK ST",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226430",
"telephone_number": "404-573-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "VERA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903003873",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG200002635",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.