Active NPI
Smithosh Mathew, LCSW
- Clinical Social Worker
- Rosenberg, TX
National Provider Identifier
1083133904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59061
- Practice address
- 5311 Avenue N
Rosenberg, TX 77471-5643 - Phone
- (800) 633-5686
- Fax
- (281) 239-0828
- NPI assigned
- Sep 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59061 | TX | Primary |
Addresses
Primary practice location
5311 Avenue N
Rosenberg, TX 77471-5643
Mailing address
4910 Airport Ave Ste D
Rosenberg, TX 77471-5759
Phone (800) 633-5686
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magis Health Concepts, PLLC | Clinical | Current | Accepting new patients |
| Valescere Spring Branch | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Missouri City, TX
- NPI 1639751332
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1760081715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1083133904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 AIRPORT AVE STE D",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715759",
"telephone_number": "800-633-5686",
"fax_number": "281-239-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 AVENUE N",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774715643",
"telephone_number": "800-633-5686",
"fax_number": "281-239-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SMITHOSH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.