Organization Active NPI

Scott W. Mates, LLC

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1093256117
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008309 Issued in VA
Legal business name
SCOTT W. MATES, LLC
Practice address
1901 Huguenot Rd
Suite 310
North Chesterfield, VA 23235-4311
Phone
(804) 464-7202
Fax
(804) 414-7742
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott William Mates, MSW
Title
Owner
Phone
(804) 464-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904008309 VA Primary

Addresses

Primary practice location

1901 Huguenot Rd
Suite 310
North Chesterfield, VA 23235-4311

Mailing address

7600 Alvarado Rd
Henrico, VA 23229-4204
Phone (804) 464-7202

Other names 1

  • Compassionatley Rooted Counseling and Theraputic Practices Doing business as

National Provider Directory

National Provider Directory

Locations

1901 Huguenot Rd
Ste 310
North Chesterfield, VA 23235
Phone (804) 464-7202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1093256117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 ALVARADO RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294204",
            "telephone_number": "804-464-7202",
            "fax_number": "804-414-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD",
            "address_2": "SUITE 310",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354311",
            "telephone_number": "804-464-7202",
            "fax_number": "804-414-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. MATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MATES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-464-7202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionatley Rooted Counseling and Theraputic Practices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.