MR. WILLIAM ANTHONY MATHIS (LCSW, CADC) – Clinical Social Worker, NPI 1639408990
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. WILLIAM ANTHONY MATHIS (LCSW, CADC)
3907 Elgin Way
Louisville, KY 402164908
Phone: (502) 778-2006
Type: Location
3907 ELGIN WAY
LOUISVILLE, KY 402164908
Phone: (502) 778-2006
Type: Mailing
517, Little League Blvd, Clarksville, Clark County, Indiana, 47129, United States
CLARKSVILLE, IN 471296629
Phone: (888) 948-6789
Fax: (877) 345-3501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200330002560 | I | Clinical Social Worker | KY | TBD |
| I20210330001915 | I | Clinical Social Worker | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 36 | 13 | $0 |
Insurance plans in this area (ZIP 40216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| Clinical Psychologist | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| - | KY | |
| Clinical Social Worker | KY |
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