Individual provider Active NPI

Karen Patricia Mattern, LCSW

  • Clinical Social Worker
  • Vero Beach, FL
National Provider Identifier
1447946231
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-12798 Issued in FL
Practice address
2770 Indian River Blvd Ste 314-315
Vero Beach, FL 32960-4299
Phone
(772) 569-0716
Fax
(772) 569-9303
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW-12798 FL Primary

Addresses

Primary practice location

2770 Indian River Blvd Ste 314-315
Vero Beach, FL 32960-4299

Mailing address

1090 W 13TH SQ
Vero Beach, FL 32960-2116
Phone (772) 633-1530

Other practice location 1

1090 W 13th Sq
Vero Beach, FL 32960-2116
Phone (772) 633-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802004496 FL Practitioner - Clinical Social Worker 6507227808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2770 Indian River Blvd
Suite 314 15
Vero Beach, FL 32960-4299
Phone (772) 617-2276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW-12798FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mattern Counseling, LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

2770 Indian River Blvd
Ste 31415
Vero Beach, FL 32960
Phone (772) 617-2276

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1447946231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W 13TH SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602116",
            "telephone_number": "772-633-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 314-315",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "772-569-0716",
            "fax_number": "772-569-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 W 13th Sq",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329602116",
            "country_code": "US",
            "telephone_number": "772-633-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "KAREN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW-12798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.