Active NPI
Howard Thomas Mathis, MSW
- Clinical Social Worker
- North Hollywood, CA
National Provider Identifier
1265566343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW70666
- Practice address
- 11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572 - Phone
- (818) 908-3855
- Fax
- (818) 753-5265
- NPI assigned
- Mar 14, 2007
- 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 | ASW70666 | CA | Primary |
Addresses
Primary practice location
11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572
Mailing address
PO Box 3662
Granada Hills, CA 91394-0662
Phone (818) 554-6268
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW70666 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Valley Community Mental Health Center | Current | Accepting new patients | |
| San Fernando Valley Community Mental Health Center, Inc. | Past | Accepting new patients |
Locations
11631 Victory Blvd
Ste 203
North Hollywood, CA 91606
Phone (818) 908-3855
14545 Sherman Cir
Van Nuys, CA 91405
Phone (818) 901-4854
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.
-
- Psychiatry Physician
- Van Nuys, CA
- NPI 1164427316
-
- Psychiatry Physician
- North Hollywood, CA
- NPI 1912037060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1265566343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3662",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913940662",
"telephone_number": "818-554-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 VICTORY BLVD STE 203",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063572",
"telephone_number": "818-908-3855",
"fax_number": "818-753-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "HOWARD",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2022-04-01",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW70666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.