Faith E Mattison, LCSW, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6913-123 Issued in WI

Practice address

2797 Prairie Ave Ste 22
Beloit, WI 53511-2288

Phone

(608) 312-2018

Fax

(608) 312-2068

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Faith E Stanley Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health on Prairie

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beloit, WI
  • NPI 1942063482

  Social Worker

  Medicare reassignment NPD Authorized official
• Stateline Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beloit, WI
  • NPI 1538560255

  Social Worker

  Medicare reassignment NPD
• Trivium LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1265450753
  NPD (past)
• Trivium LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Sun Prairie, WI
  • NPI 1427463066
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1487686648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 PRAIRIE AVE STE 22",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112288",
            "telephone_number": "608-312-2018",
            "fax_number": "608-312-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 PRAIRIE AVE STE 22",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112288",
            "telephone_number": "608-312-2018",
            "fax_number": "608-312-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "FAITH",
        "middle_name": "E",
        "credential": "LCSW, MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "6913123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6913-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "MATTIFAI-MO",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1487686648",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487686648",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "STANLEY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Martine
• Dori Martinez, RN
• Brian W Martinson, PA-C
• Anne Marie C Matelski, PA
• Ajmal Matloob, MD
• Meredith A. Maxey, M.D.
• Teresa McAllister
• Karleen F. McBride, PA
• Sandra A McClintic, RN
• Taylor McClinton

• Clinical Social Worker in Beloit, WI
• Providers in Beloit, 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 Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.