Alexis Danielle Mathias, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113452 Issued in CA

Practice address

65 E Latimer Ave
Campbell, CA 95008-1205

Phone

(626) 833-1106

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radical Roots Psychotherapy, a Licensed Clinical Social Worker, PC

  • Clinical Social Worker
  • Campbell, CA
  • NPI 1003664947
  NPD Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1467907212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 1918",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "408-337-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E LATIMER AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081205",
            "telephone_number": "626-833-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mas Professional Services
• Sommer Mason, PTA
• Maliheh Massih, M.D.
• Loren Mata, RBT
• Faith Naomi Mata'U
• Matsuo Enterprises Inc
• David Matsuo, PHARM.D.
• Marte J Matthews, MFT
• Jonathan Mattice, MFTI
• Jessica Mattox

• Clinical Social Worker in Campbell, CA
• Providers in Campbell, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.