Active NPI
Heather Mathis, LCSWA
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1700572559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P018792
- Practice address
- 1350 SE Maynard Rd Ste 201
Cary, NC 27511-3634 - Phone
- (919) 606-7122
- NPI assigned
- Apr 14, 2023
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P018792 | NC | Primary |
Addresses
Primary practice location
1350 SE Maynard Rd Ste 201
Cary, NC 27511-3634
Mailing address
506 Small Creek LN
Cary, NC 27518-5323
Phone (919) 606-7122
Other practice location 1
1003 Wild Sonnet Ct
Apex, NC 27502-9206
Phone (919) 606-7122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P018792 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mona R Gupta, DO Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1700572559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 SMALL CREEK LN",
"city": "CARY",
"state": "NC",
"postal_code": "275185323",
"telephone_number": "919-606-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SE MAYNARD RD STE 201",
"city": "CARY",
"state": "NC",
"postal_code": "275113634",
"telephone_number": "919-606-7122"
}
],
"practiceLocations": [
{
"address_1": "1003 Wild Sonnet Ct",
"address_purpose": "LOCATION",
"city": "Apex",
"state": "NC",
"postal_code": "275029206",
"country_code": "US",
"telephone_number": "919-606-7122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIS",
"first_name": "HEATHER",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.