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

Mr. Charly Mathew, LCSW

Individual provider Clinical Social Worker · NPI 1447470927

Mr. Charly Mathew, LCSW is a Clinical Social Worker in Miami, Florida. Qualified in 1991, 35 years ago. Practices with Professional Medical Concierge Services PLLC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
35
Licensed in
FL, NY
In the registry since
2007
Specialties on file
2
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

15321 S Dixie Hwy Ste 210
Miami, FL 33157-1814
Phone: (305) 259-0017
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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 093684-01 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7747 (FL)

Record details

NPI number1447470927
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Professional Medical Concierge Services Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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