Active NPI
Mattie Weems Stott, LCSW-C
- Mental Health Counselor
- Annapolis, MD
National Provider Identifier
1275766271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15205
- Practice address
- 1119 Riverboat CT
Annapolis, MD 21409-5438 - Phone
- (410) 610-0416
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15205 | MD | Primary |
Addresses
Primary practice location
1119 Riverboat CT
Annapolis, MD 21409-5438
Mailing address
1119 Riverboat CT
Annapolis, MD 21409-5438
Phone (410) 610-0416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589561803 | Medicaid | MD |
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 |
|---|---|---|---|
| 15205 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1275766271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 RIVERBOAT CT",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095438",
"telephone_number": "410-610-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 RIVERBOAT CT",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095438",
"telephone_number": "410-610-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "MATTIE",
"middle_name": "WEEMS",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "15205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "589561803",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.