Wilmarie Vega Matos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904016464 Issued in VA

Practice address

1005 Louisa Ave
Portsmouth, VA 23707-2931

Phone

(787) 203-1535

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Wilmarie Vega Matos Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Awakening of the Soul Psychotherapy Services, LLC

  • Clinical Social Worker
  • Portsmouth, VA
  • NPI 1164211553
  NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1942633540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LOUISA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072931",
            "telephone_number": "787-203-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LOUISA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072931",
            "telephone_number": "787-203-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA MATOS",
        "first_name": "WILMARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "19584",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILMARIE",
            "last_name": "VEGA MATOS",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Emilio Vargas Fuentes, DO
• Matthew Cozart Vasquez, M.D.
• Jarrod Vaughan, BCBA
• Philip Michael Vazquez, MD
• Jasmine Vecchio, DO
• Alberto Ramon Velasco, DO
• Chiara Velez, MD
• Kelsey Velo
• Cherie Annette Veney
• Veni Phlo Mobile Phlebotomy

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.