Emmett Mathis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3652 Issued in LA

Practice address

1416 Natchitoches St
West Monroe, LA 71292-3751

Phone

(318) 855-8773

Fax

(318) 855-8779

NPI assigned

Jul 7, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1538511175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 NATCHITOCHES ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712923751",
            "telephone_number": "318-855-8773",
            "fax_number": "318-855-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 NATCHITOCHES ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712923751",
            "telephone_number": "318-855-8773",
            "fax_number": "318-855-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "EMMETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Daryl Marx, M.D.
• Hayley Alicia Mason
• Melanie S Massey, PT
• Sheline De'Dreon Massey
• Destini Mathews
• Matthew H Thornhill LLC
• William H Matthews, MD
• John E Maxwell II, M.D.
• Angela Jill May, LPC
• Janssen May, LAT, ATC, NREMT-EMR

• Clinical Social Worker in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.