Adriana Mattingly, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11939 Issued in SC

Practice address

171 Church St Ste 230
Charleston, SC 29401-3137

Phone

(843) 823-6811

Fax

(843) 823-6811

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1073048112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CHURCH ST STE 230",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013137",
            "telephone_number": "843-823-6811",
            "fax_number": "843-823-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHURCH ST STE 230",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013137",
            "telephone_number": "843-823-6811",
            "fax_number": "843-823-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ADRIANA",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mattes, PHARMD
• Courtney Nichole Matthews, DNAP, CRNA
• Elaina Matthews, MD
• Michael Alexander Matthews, MD
• Warren Matthews
• Gail Mattix, LISW-CP
• Gabriel Mattson, P.T.
• Angela Joyce Matuella, LCSW
• Adrianna Elyzabeth Matusiak, AGACNP-BC
• Andrew Joseph Matuskowitz, M.D.

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.