Kelsie Matthews, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013441 Issued in VA

Practice address

9023 Forest Hill Ave Ste 2a
North Chesterfield, VA 23235-3054

Phone

(804) 416-5052

NPI assigned

Dec 17, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1366102329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N GRAND BROOK CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254159",
            "telephone_number": "540-448-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 FOREST HILL AVE STE 2A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353054",
            "telephone_number": "804-416-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KELSIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013441",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://calmingwind.clientsecure.me/",
            "affiliation": "N",
            "address_1": "9023 Forest Hill Ave Ste 2A",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232353054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Samuel Martinez
• Harmeet Singh Mashiana, M.D.
• Simran Sekhon Mashiana
• Shellie Mason, LPN
• Scott William Mates, MSW, LCSW
• Latasha Coett Matthews, PMHNP
• Melody Y Matthews, D.C.
• Samuel Matthews, LCSW
• Stella Matthews
• Maunda LLC

• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, 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 29, 2024; 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.