Therese Mattingly, M.S., LCSW, LMFT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3146123 Issued in WI

Practice address

1 S Main St
Janesville, WI 53545-3922

Phone

(608) 757-0404

NPI assigned

Mar 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Genesis Counseling Services LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1730273483
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346217700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E HOLMES ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453922",
            "telephone_number": "608-757-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "THERESE",
        "credential": "M.S., LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3146123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39293700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Massoglia, PHARM D
• Joseph H Mastromarino, MD
• Casey E Mathews, PT
• Sara Mathews, PHARMD
• Sky Lynn Mathews, LPN
• Terry Vernon Matulle, M.S., CCC-A
• Melissa R Matzke, M.S./CFY-SLP
• Susan M Matzke, MS
• Cherie Mauerman, PTA
• Alexis Marie Mauermann

• Clinical Social Worker in Janesville, WI
• Providers in Janesville, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.