Jeffrey Mathias, LMSW
Individual provider Active NPI Social Worker · Phelps, NY
NPI 1497676191 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1497676191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 119817 (NY)
- Practice address
- 52 Church St
Phelps, NY 14532-1139 - Phone
- (607) 399-1862
- NPI assigned
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119817 | NY | Yes |
Addresses
Primary practice location
52 Church St
Phelps, NY 14532-1139
Mailing address
52 Church St
Phelps, NY 14532-1139
Phone (607) 399-1862
Other providers in Phelps, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.