Ms Kathleen G Mattis, LCSW is a
Social Worker - Clinical based in Waddington, New York. Ms Kathleen G Mattis is licensed to practice in New York (license number 077293) and her current practice location is
29 William Manor Dr, Waddington, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 388-3074.
NPI number for Ms Kathleen G Mattis is 1790040004 and her current mailing address is 29 William Manor Dr, Waddington, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790040004.
Healthcare Provider's Profile
Full Name | Ms Kathleen G Mattis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 29 William Manor Dr, Waddington, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790040004
- Provider Enumeration Date: 07/12/2012
- Last Update Date: 07/12/2012
Medical Identifiers
Medical identifiers for Ms Kathleen G Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790040004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 077293 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathleen G Mattis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kathleen G Mattis, LCSW 29 William Manor Dr, Waddington, NY 13694-3186 Ph: (315) 388-3074 | Ms Kathleen G Mattis, LCSW 29 William Manor Dr, Waddington, NY 13694-3186 Ph: (315) 388-3074 |
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