Individual provider Active NPI

Courtney Rae Mathews, LCSW, LCAC

  • Clinical Social Worker
  • Franklin, IN
National Provider Identifier
1407465933
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
550 E Jefferson St Ste 101
Franklin, IN 46131-2586
Phone
(317) 738-0515
NPI assigned
Jul 30, 2020
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001410A IN
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

550 E Jefferson St Ste 101
Franklin, IN 46131-2586

Mailing address

550 E Jefferson St Ste 101
Franklin, IN 46131-2586
Phone (317) 738-0515

Other practice location 1

16115 LaSalle St.
South Holland, IL 60473
Phone (833) 904-2273

Other practice location 2

26026 W 12 Mile Rd Ste 202
Southfield, MI 48034-1783
Phone (833) 904-2273

Other practice location 3

2301 N Meridian St
Indianapolis, IN 46208-5729
Phone (833) 904-2273

Other practice location 4

500 E Main St Ste 105
Columbus, OH 43215-5619
Phone (833) 904-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240118001051 IN Practitioner - Clinical Social Worker 8820440514 Reassigns benefits to 1 organization
I20250310002233 IL Practitioner - Clinical Social Worker 8820440514 Reassigns benefits to 1 organization
I20250502002577 MI Practitioner - Clinical Social Worker 8820440514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001410AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Care Interventions Inc CurrentSince Sep 13, 2020 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Dec 12, 2023 Accepting new patients

Locations

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

550 E Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 738-0515

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

Interoperability endpoints

  • Direct secure messaging: courtney.mathews.1@27775.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1407465933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E JEFFERSON ST STE 101",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312586",
            "telephone_number": "317-738-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E JEFFERSON ST STE 101",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312586",
            "telephone_number": "317-738-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16115 LaSalle St.",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "60473",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26026 W 12 Mile Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341783",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085729",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155619",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001410A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.