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

Miss. Rita Diane Mathis, LCSW

Individual provider Clinical Social Worker · NPI 1518203546

Miss. Rita Diane Mathis, LCSW is a Clinical Social Worker in Chamblee, Georgia. Qualified in 2008, 18 years ago. Practices with Revere Counseling and Care Management LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2012
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

3807 Clairmont Rd
Chamblee, GA 30341-4911
Phone: (404) 892-4646
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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 CSW004630 (GA)

Record details

NPI number1518203546
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Revere Counseling And Care Management Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chamblee