Active NPI
Robert L. Mathis & Associates, Inc.
- Clinical Social Worker
- Marietta, GA
National Provider Identifier
1578690384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002157
- Legal business name
- ROBERT L. MATHIS & ASSOCIATES, INC.
- Practice address
- 1640 Powers Ferry Rd SE
Building 8 - Suite 145
Marietta, GA 30067-5491 - Phone
- (770) 956-1056
- Fax
- (770) 944-8586
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Mathis, MSW
- Title
- President
- Phone
- (770) 956-1056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002157 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE
Building 8 - Suite 145
Marietta, GA 30067-5491
Mailing address
PO Box 813386
Smyrna, GA 30081-8386
Phone (770) 956-1056
National Provider Directory
National Provider DirectoryLocations
1640 Powers Ferry Rd SE
Bldg 8
Marietta, GA 30067
Phone (678) 933-7386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1578690384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 813386",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300818386",
"telephone_number": "770-956-1056",
"fax_number": "770-944-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BUILDING 8 - SUITE 145",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "770-956-1056",
"fax_number": "770-944-8586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L. MATHIS & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "MATHIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-956-1056",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "002157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.