Individual provider Active NPI

Mattie Boyd, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1841174620
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9763 Issued in TN
Practice address
961 Spring Creek Rd Ste 202
Chattanooga, TN 37412-3976
Phone
(731) 695-8071
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 9763 TN Primary

Addresses

Primary practice location

961 Spring Creek Rd Ste 202
Chattanooga, TN 37412-3976

Mailing address

4614 Terra Vista Dr
Chattanooga, TN 37416-2618
Phone (731) 695-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251125005023 TN Practitioner - Clinical Social Worker 0446742464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Therapy Center - Chattanooga LLCGroup PAC ID 5597290015, 5 clinicians

Practice addresses (Care Compare)

961 Spring Creek Rd
Suite 202
Chattanooga, TN 37412-3976
Phone (423) 680-5595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9763TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Therapy Center - Chattanooga, LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

961 Spring Creek Rd
Ste 202
East Ridge, TN 37412
Phone (423) 680-5595

Interoperability endpoints

  • Direct secure messaging: mattie.boyd@hca1.eclinicaldirectplus.com

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

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1841174620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 TERRA VISTA DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162618",
            "telephone_number": "731-695-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SPRING CREEK RD STE 202",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123976",
            "telephone_number": "731-695-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MATTIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.