Davene Ann Mathis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009117 Issued in VA

Practice address

826 Caroline St Ste a
Fredericksburg, VA 22401-5806

Phone

(202) 903-8303

NPI assigned

Oct 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coping Matters PLLC

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1356923783
  NPD Authorized official

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1255768271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PLANK RD # 270",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015226",
            "telephone_number": "540-805-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAROLINE ST STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015806",
            "telephone_number": "202-903-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023361",
            "country_code": "US",
            "telephone_number": "202-729-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "DAVENE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079515",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Specialists PC
• Joseph Gabriel Mathern Jr., R.O.
• Karen C Mathes, CRNA
• Christopher Mathews, LPC
• Mary Alexandra Mathews
• Kyle Mathis, LCSW
• Sheila Lynn Mathis, C.N.M.
• Lisa Ann Mathison, CRNA
• Cameo Matthews, LMT
• Harmony Matthews, CSAC-S

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.