Individual provider Active NPI

David Mate, MSW, LCSW

  • Clinical Social Worker
  • Lake City, FL
National Provider Identifier
1285597724
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23197 Issued in FL
Practice address
1049 NW Winborn Way
Lake City, FL 32055-1806
Phone
(386) 754-9926
Fax
(386) 754-9928
NPI assigned
Dec 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW23197 FL Primary

Addresses

Primary practice location

1049 NW Winborn Way
Lake City, FL 32055-1806

Mailing address

1049 NW Winborn Way
Lake City, FL 32055-1806
Phone (386) 754-9926

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

LicenseStateTypeSpecialty
SW23197FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1285597724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 NW WINBORN WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320551806",
            "telephone_number": "386-754-9926",
            "fax_number": "386-754-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 NW WINBORN WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320551806",
            "telephone_number": "386-754-9926",
            "fax_number": "386-754-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATE",
        "first_name": "DAVID",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.