Kelly Marie Mattos, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6452G Issued in AL

Practice address

9869 Pulaski Pike Ste C
Toney, AL 35773-7201

Phone

(256) 850-4091

Fax

(256) 970-1643

NPI assigned

Apr 11, 2024

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)

Not 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.

• Clark Counseling Services

  • Mental Health Counselor
  • Toney, AL
  • NPI 1912877481
  NPD
• Over the Horizon Counseling LLC

  • Clinical Social Worker
  • Meridianville, AL
  • NPI 1437744141
  NPD (past)

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1699528208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE STE C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9869 PULASKI PIKE STE C",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357737201",
            "telephone_number": "256-850-4091",
            "fax_number": "256-970-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6452G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jackson, ALC
• Rebecca Lafferty
• Lending Hands, Inc.
• Celia Winifred Lloyd-Turney, MD
• Malie Therapy Services LLC
• Pamela Mitchell
• Kimberly Moscato, RPH
• Oneway Outreach Ministry
• Elizabeth B Pitchford, MD
• Amy Lynn Ratley

• Social Worker in Toney, AL
• Providers in Toney, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.