Deborah M. Mathis LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05730300 Issued in NJ

Legal business name

DEBORAH M. MATHIS LCSW

Practice address

108 W Merchant St
Audubon, NJ 08106-1424

Phone

(609) 501-5910

Fax

(856) 546-1480

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Deborah M Mathis, MSW, CSSW, LCSW

Title

President

Phone

(609) 501-5910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1992193387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424",
            "telephone_number": "609-501-5910",
            "fax_number": "310-348-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424",
            "telephone_number": "609-501-5910",
            "fax_number": "856-546-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH M. MATHIS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-501-5910",
        "authorized_official_credential": "MSW, CSSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05730300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.