KYLE MATHIS LCSW
NPI 1952292203
Social Worker - Clinical in Fredericksburg, VA

Q: What is Kyle Mathis's NPI number?

The NPI number for Kyle Mathis is 1952292203. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Q: What is Kyle Mathis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Mathis was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment

600 JACKSON ST, FREDERICKSBURG, VA 22401(610) 373-3223 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Kyle Mathis Lcsw NPPES

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

KYLE MATHIS LCSW (NPI 1952292203) is an individual clinical provider in Fredericksburg, Virginia, licensed in Virginia (0904018708) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fredericksburg, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952292203

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKYLE MATHISCredential: LCSW

Location Address600 JACKSON STFredericksburg, VA 22401-5719

Mailing Address26 Glen Oak RdFredericksburg, VA 22405-1773 · (610) 772-3124

Phone(610) 373-3223

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1952292203 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 VA · 0904018708

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.

600 JACKSON ST, Fredericksburg, VA 22401

Open in Google Maps ↗

Secondary Practice Location 1

Location 126 Glen Oak RdFredericksburg, VA 22405-1773 · Phone (610) 772-3124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle 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 ID9638677750

PECOS Enrollment IDI20250808000859

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA B FISHER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)