Provider Demographics
NPI:1316177710
Name:MATTHEWS, YOUILITE SPEARS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:YOUILITE
Middle Name:SPEARS
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:YOUILITE
Other - Middle Name:ARNIECE
Other - Last Name:SPEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:102 OAKBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6158
Mailing Address - Country:US
Mailing Address - Phone:678-715-1143
Mailing Address - Fax:
Practice Address - Street 1:39A OAK HILL CT
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2392
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-417-2910
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW003551104100000X
AL2380G104100000X
GACSW0045021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker