Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATHLEEN G. MATTIS, LCSW
ActiveMS. KATHLEEN G. MATTIS, LCSW is a Clinical Social Worker healthcare provider located in WADDINGTON, New York. NPI 1790040004 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WADDINGTON, NY
Registration Details
- NPI Number
- 1790040004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2012 (14.054803199835 yrs)
- Last Updated
- Jul 12, 2012
- License
-
077293 (NY)
Practice Information
- Address
-
29 WILLIAM MANOR DRWADDINGTON, NY, 136943186Browse NY providers · Browse ZIP 13694
- Phone
- 3153883074
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WADDINGTON, NY
| Name | Credential | NPI |
|---|---|---|
| MS. PEGGY LEIGH BAKER | LCSWR | 1245536788 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.