Teresa Lynn Mathis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05234100 Issued in NJ

Practice address

3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499

Phone

(732) 679-4500

Fax

(732) 679-4549

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Psychological and Wellness Center,LLC

  • Prescribing (Medical) Psychologist
  • Forked River, NJ
  • NPI 1821208158
  Medicare reassignment NPD
• Psychiatry Services of New York PC

  • Counseling Psychologist
  • Syracuse, NY
  • NPI 1013781871
  Medicare reassignment

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1245491604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05234100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marriaga, LCSW
• Maruti Family & Sleep Medicine LLC (Sleep Medicine & Wellness Center)
• Lydia Mathai
• Joseph Mathew, MD
• Kris Mathis
• Max Health Therapies
• Max Health Therapies, PC
• Maxhealth, LLC (MaxHealth)
• MBS Trinity Health, LLC
• Annmarie McDade, MS, RDN, CDE

• Clinical Social Worker in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.