John Mathews LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008919 Issued in VA

Legal business name

JOHN MATHEWS LCSW, LLC

Practice address

4581 Lifestyle LN
Midlothian, VA 23112-4807

Phone

(804) 317-5756

Fax

(804) 510-0929

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

John Mathews

Title

LCSW, Owner

Phone

(804) 317-5756

Specialties & licenses 1

Addresses

Other names 1

• Virginia Counseling Doing business as

Locations

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1952772048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 LIFESTYLE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124807",
            "telephone_number": "804-317-5756",
            "fax_number": "804-482-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 LIFESTYLE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124807",
            "telephone_number": "804-317-5756",
            "fax_number": "804-510-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MATHEWS LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LCSW, OWNER",
        "authorized_official_telephone_number": "804-317-5756"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mark E Johns, MD
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• Kierstyn Johnson-Wigfall

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, 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 17, 2020; 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.