Active NPIIndividual providerSole proprietor

Teresa L Mathis, LCSW

Social Worker, Clinical in Old Bridge, New Jersey

NPI Number1245491604
Practice location
3895 Route 516, Suite 2B, Old Bridge, NJ 08857-2499
Fax
732-679-4549
Last updated
June 18, 2008

Teresa Lynn Mathis is a Social Worker, Clinical based in Old Bridge, NJ. Teresa Lynn Mathis practices in Old Bridge, NJ and has the professional credentials of LCSW. The NPI Number for Teresa Lynn Mathis is 1245491604 and holds a License No. 44SC05234100 (NJ). The current practice location address for Teresa Lynn Mathis is 3895 Route 516, Suite 2B, Old Bridge, NJ 08857-2499 and can be reached out via phone at 732-679-4500 and via fax at 732-679-4549.

Provider Profile Details

NPI Number
1245491604
Provider Name
Teresa Lynn Mathis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3895 Route 516, Suite 2B, Old Bridge, NJ 08857-2499
Phone Number
732-679-4500
Fax Number
732-679-4549
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2008
Last Update Date
June 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499
Zip
08857-2499
Phone Number
732-679-4500
Fax Number
732-679-4549
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499
City
Old Bridge
State
NJ
Zip
08857-2499
Phone Number
732-679-4500
Fax Number
732-679-4549

License Information

License Number
44SC05234100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Teresa L Mathis, LCSW?

The NPI number of Teresa L Mathis, LCSW is 1245491604. It was assigned on June 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Teresa L Mathis, LCSW?

Teresa L Mathis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05234100.

Where does Teresa L Mathis, LCSW practice?

The practice location is 3895 Route 516, Suite 2B, Old Bridge, NJ 08857-2499. The office can be reached at 732-679-4500 (phone) or 732-679-4549 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245491604 directly on the NPPES registry website.

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