Aneisa Lynn Sherrill-Mattox, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011029060 Issued in MO

Practice address

2401 Bernadette Dr Ste 201
Columbia, MO 65203-4672

Phone

(573) 289-2167

NPI assigned

Dec 2, 2014

Last updated

Mar 4, 2025By the provider in NPPES

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

Enrolled in MO

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walking Peace

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boonville, MO
  • NPI 1467289983
  NPD

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1750788022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VINE ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331578",
            "telephone_number": "573-289-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BERNADETTE DR STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034672",
            "telephone_number": "573-289-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL-MATTOX",
        "first_name": "ANEISA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011029060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490078150",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyn L Sher, MD
• Erica Sher
• Chelsea Rae Sherley, LMSW
• Garth Sherman, MD
• Sara Cathalene Sherrer, REHAB DIRECTOR, COTA
• Rebecca Cates Shetley, DPT
• Karlee Ann Shettlesworth, OTR/L
• Nicole Jo Shields, WHNP-BC
• Cheryl Lynn Shigaki, PHD
• Fnu Shilpa, MD

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.