David J Mathews, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8113 Issued in MN

Practice address

1930 Coon Rapids Blvd NW
Coon Rapids, MN 55433-4708

Phone

(763) 427-7964

Fax

(763) 427-7976

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1093815136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CENTRE POINTE BLVD STE 3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551201271",
            "telephone_number": "612-279-1033",
            "fax_number": "651-774-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334708",
            "telephone_number": "763-427-7964",
            "fax_number": "763-427-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Wacouta St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012355",
            "country_code": "US",
            "telephone_number": "651-592-3961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Centre Pointe Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551201271",
            "country_code": "US",
            "telephone_number": "612-279-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093815136",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Tuttle Maschoff, RDN, LD
• Jael Masi
• Rachael Mason
• Moeen Ahmad Masood, M.B., B.S.
• Fediliay Massaquoi
• Michele Marie Mathews, RDN
• Tyler Daniel Mathiason, PT, DPT
• Angela Mathison, NP-C
• Jenna Marie Matteson Laabs, MAOT, OTR/L
• Steven Thomas Maurer, PH.D.

• Clinical Social Worker in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.