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RENE MARTIN MATHIS LCSW
NPI 1194584086
Social Worker - Clinical in San Diego, CA

Active since March 14, 2024PECOS EnrolledAccepts Medicare Assignment
2274 ELROD ST, SAN DIEGO, CA 92145(619) 829-6583 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rene Martin Mathis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENE MARTIN MATHIS LCSW (NPI 1194584086) is an individual clinical provider in San Diego, California, licensed in California (LCSW112258) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194584086
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRENE MARTIN MATHISCredential: LCSW
Location Address2274 ELROD STSan Diego, CA 92145-0001
Mailing AddressPo Box 212974Chula Vista, CA 91921-2974 · (619) 829-6583
Phone(619) 829-6583
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1194584086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW112258
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2274 ELROD ST, San Diego, CA 92145
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rene Martin Mathis Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729545868
PECOS Enrollment IDI20260807002827
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rene Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurturing Mind, Body & Spirit, A Licensed Clinical Social Worker Corp
437 mi
Clinical
13847 E 14TH ST STE 214A
San Leandro, CA 94578
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1275396434 (510) 225-4040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rene Mathis's NPI number?

The NPI number for Rene Mathis is 1194584086. It was assigned to this individual provider in the NPPES registry on March 14, 2024.

Where is Rene Mathis located?

Rene Mathis practices at 2274 Elrod St, San Diego, CA 92145. The listed phone number is (619) 829-6583.

What is Rene Mathis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rene Mathis enrolled in Medicare?

Yes. Rene Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rene Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rene Mathis reassigns Medicare benefits to Nurturing Mind, Body & Spirit, A Licensed Clinical Social Worker Corp (San Leandro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rene Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rene Mathis was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.