Shannon Fay Mathis Meyer, LCSW, CACII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005915 Issued in GA

Practice address

3478 Martha Berry Hwy NE
Rome, GA 30165-7713

Phone

(404) 477-4888

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Shannon Fay Mathis Meyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Collaborative Minds Therapy and Consulting LLC

  • Clinical Social Worker
  • Rome, GA
  • NPI 1225903073
  NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1992044465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE R",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 MARTHA BERRY HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301657713",
            "telephone_number": "404-477-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8322 Office Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301346936",
            "country_code": "US",
            "telephone_number": "404-477-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS MEYER",
        "first_name": "SHANNON",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005915",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5982C",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MATHIS MEYER",
            "middle_name": "FAY",
            "prefix": "MRS.",
            "credential": "LCSW, LICSW, CACII",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Ann Martin, FNP
• Zachary B Martin Jr., M.D.
• Beverly Cambron Mason, LPC
• Charles Andrew Tilman Matheny, PA-C
• Colin O Matheny, PA
• Jamie Leigh Mathis
• Kristin L Mathis
• Joscar Matos, MD
• Mattie Care Nemt LLC
• Mattie Care Reliable Non Emergency Medical Transportation

• Clinical Social Worker in Rome, GA
• Providers in Rome, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.