Amy Mathieson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106062 Issued in CA

Practice address

1560 Betty CT
McKinleyville, CA 95519-4178

Phone

(707) 839-1933

NPI assigned

Feb 23, 2021

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

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1487248191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-834-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-839-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIESON",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.m@twofeathers-nafs.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Two Feathers Native American Family Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1560 Betty Ct",
            "city": "McKinleyville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955194178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arturo Marquez Cervantes
• Caleb Randal Martinez Sepulveda
• Shanley L Masten
• Shaylynne Laree Masten, MSW
• Tracy Lynn Mathews
• Melissa Marie McCall, RN
• Kellie Charline McGlathery
• Robert Elkin McHugh, PHARMD
• McKinleyville Union School District
• McKinleyville Uscg Phcy

• Clinical Social Worker in McKinleyville, CA
• Providers in McKinleyville, 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 28, 2022; 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.