Individual provider · Type 1 NPI

Kyle Mathis, LCSW

Clinical Social Worker · Fredericksburg, VA

NPI number 1952292203 Active

Practice location

600 Jackson St
Fredericksburg, VA 22401-5719

Mailing address

26 Glen Oak Rd
Fredericksburg, VA 22405-1773

Other practice locations

  • 26 Glen Oak Rd, Fredericksburg, VA 22405-1773 · (610) 772-3124

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904018708 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1952292203

Kyle Mathis, LCSW's National Provider Identifier is 1952292203, issued on Jul 14, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fredericksburg, VA. The record was last updated on Jul 14, 2025.