Rae Lynne Mattis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW 001809 Issued in GA

Practice address

The Center for Therapeutic Arts
2037 Rosebud Road
Grayson, GA 30017-1226

Phone

(770) 962-9597

Fax

(770) 279-7588

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518170315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 ECARTE COURT",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476412",
            "telephone_number": "770-962-9597",
            "fax_number": "770-279-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE CENTER FOR THERAPEUTIC ARTS",
            "address_2": "2037 ROSEBUD ROAD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171226",
            "telephone_number": "770-962-9597",
            "fax_number": "770-279-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "RAE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW 001809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Louise Lucas, RN, RNFA
• Jordan L Lunday, D.C.
• Adelle Lytle
• Tina Lyttle
• Stephanie Mathes, DC
• Michelle Diane Mauldin
• Sheri Maxwell, P.T.
• Traci McCaffery
• Victoria McGhee
• Jennifer McKay

• Clinical Social Worker in Grayson, GA
• Providers in Grayson, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.