Active NPI
Reji P Mathew, SOCIAL WORKER (LCSW)
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1730432642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5105
- Practice address
- 1201 NW 16TH St
Miami, FL 33125-1624 - Phone
- (786) 299-3632
- Fax
- (305) 575-3164
- NPI assigned
- Oct 17, 2012
- Last updated
- Oct 17, 2012
- Sex
- Male
- 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 | SW 5105 | FL | Primary |
Addresses
Primary practice location
1201 NW 16TH St
Miami, FL 33125-1624
Mailing address
6120 Hawkes Bluff Ave
Davie, FL 33331-3416
Phone (954) 673-8958
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 |
|---|---|---|---|
| SW 5105 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1730432642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 HAWKES BLUFF AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313416",
"telephone_number": "954-673-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "786-299-3632",
"fax_number": "305-575-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "REJI",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "SOCIAL WORKER (LCSW)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.