| Miss Rita Diane Mathis, LCSW | |
|
3807 Clairmont Rd, Chamblee, GA 30341-4911 | |
| (404) 892-4646 | |
| Not Available |
| Full Name | Miss Rita Diane Mathis |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 3807 Clairmont Rd, Chamblee, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518203546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004630 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chris 180 Inc | 6800109489 | 2 |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
| Entity Name | Chris 180 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134257827 PECOS PAC ID: 6800109489 Enrollment ID: O20150727000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Rita Diane Mathis, LCSW 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 294-3836 | Miss Rita Diane Mathis, LCSW 3807 Clairmont Rd, Chamblee, GA 30341-4911 Ph: (404) 892-4646 |
Mr. Eugene Burton May Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3807 Clairmont Rd, Chamblee, GA 30341 Phone: 770-457-5867 | |
Kimberly Brazis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3720 Chamblee Dunwoody Rd Ste D2, Chamblee, GA 30341 Phone: 678-802-9355 | |
Jason Daniel Hernandez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3720 Chamblee Dunwoody Rd Ste D2, Chamblee, GA 30341 Phone: 678-802-9355 | |
Ms. Lisa Ellen Sturt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3807 Clairmont Rd, Chamblee, GA 30341 Phone: 770-457-5867 Fax: 770-451-8018 | |
Nicole M Bailey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 Phone: 404-468-2274 | |
Andrea K Boc, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3807 Clairmont Rd, Chamblee, GA 30341 Phone: 404-892-4646 | |
Sandra Petrakis-childs, L.C.S.W., L.M.F.T. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3990 Clairmont Rd, Chamblee, GA 30341 Phone: 770-458-8909 |