| John Mathews Lcsw, Llc | |
|
4581 Lifestyle Ln Midlothian VA 23112-4807 | |
| (804) 317-5756 | |
| (804) 510-0929 |
| Full Name | John Mathews Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4581 Lifestyle Ln, Midlothian, Virginia |
| Authorized Official Name and Position | John Mathews (LCSW, OWNER) |
| Authorized Official Contact | 8043175756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Mathews Lcsw, Llc 4581 Lifestyle Ln Midlothian VA 23112-4807 Ph: (804) 317-5756 | John Mathews Lcsw, Llc 4581 Lifestyle Ln Midlothian VA 23112-4807 Ph: (804) 317-5756 |
| NPI Number | 1952772048 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952772048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008919 (Virginia) | Primary |
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