Nicole Mattocks, PHD, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28704 Issued in MD

Practice address

1224 Hull St
Baltimore, MD 21230-5239

Phone

(410) 707-5746

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guiding Insight, LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1881263424
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1144952144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 HULL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 HULL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305239",
            "telephone_number": "410-707-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "NICOLE",
        "credential": "PHD, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@guidinginsightllc.com",
            "affiliation": "Y",
            "endpointDescription": "Professional email address",
            "affiliationName": "Guiding Insight, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Southfield Pl",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212123816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Ruth Matthews, RN, BSN, CCM
• Tiona Matthews
• Mabel Matthias, CRNP
• Shivani Mattikalli, MD
• Marque-Ann Mattle, PA
• Ellie Rose Mattoon
• Sarah Elizabeth Mattos, LCSW-C
• Patty Jo Mattox, C.R.N.P.
• Amal Mattu
• Maggie Mattu, PHARM. D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.