MEDICARE: SAVANNA MATHIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904020360	VA
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1932066701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNA MATHIAS

Provider Business Mailing Address
First Line	:	4576 GREENLAW DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-6349
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 HOLLAND RD STE 106
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1900
Country	:	US
Telephone Number	:	757-933-1636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	04/28/2026

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Directions to “ SAVANNA MATHIAS ” Practice Location

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