Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisha Larae Mathis, LCSW

Individual provider Clinical Social Worker · NPI 1609253681

Marisha Larae Mathis, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4000 Wake Forest Rd Ste 200
Raleigh, NC 27609-6859
Phone: (919) 865-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C009792 (NC)

Record details

NPI number1609253681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 29, 2015
Last updated in NPPESNovember 1, 2018

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