ADRIANA MATTINGLY (NPI# 1073048112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073048112 |
| Entity Type | Individual |
| Full Name | ADRIANA MATTINGLY |
| Credential | LISW-CP |
| Practice Address |
2100 Charlie Hall Blvd Charleston SC 29414 |
| Mailing Address |
2100 Charlie Hall Blvd Charleston SC 29414-5832 |
| Practice Telephone | 8438524100 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
19897 | MD | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11939 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760596480 | 05 |
| Street Address |
2100 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617714 | Rebecca J Whitt | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2005-08-30 |
| 1104426469 | Sara T Hansen | Social Worker | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-27 |
| 1770182776 | Nicholas Anthony Germano | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-21 |
| 1548868458 | Teresa Blake | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1285232181 | Autumn Porter | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1083221097 | Ashley M Parker | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1457968463 | Marlayah Legare | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1679180681 | Cecile A Piriz | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1265047872 | Frederick Laugisch | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-10 |
| 1144831512 | Whitney M Fee | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707512 | Erica Levin | Social Worker | 1021 W Hayes Ave, Charleston, IL 61920-3111 | 2020-07-17 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1376199919 | Journey of Transitions, LLC | Social Worker | 2178 Savannah Hwy Unit 3, Charleston, SC 29414-5311 | 2019-08-09 |
| 1538724885 | Susan Angliker Jillson | Social Worker | 305 Spindlewood Way, Charleston, SC 29414-8206 | 2019-05-02 |
| 1386112175 | Allison Deanna Hardy | Social Worker | 1052 Gardner Rd Ste 900, Charleston, SC 29407-5702 | 2018-11-09 |
| 1710481916 | Meghan Nicole Board | Social Worker | 505 Leon Sullivan Way, Charleston, WV 25301-1216 | 2018-03-21 |
| 1003316985 | Sarah Grace Ferretti | Social Worker | 1020 Birch Rd Apt C, Charleston, WV 25314-1276 | 2018-02-16 |
| 1609375260 | Lindsay Montare Rubel | Social Worker | 68 Hagood Ave, Charleston, SC 29403-7104 | 2018-02-08 |
| 1396251641 | Carly Erin Costello | Social Worker | 1021 Quarrier St Ste 412, Charleston, WV 25301-2331 | 2017-12-22 |
| 1174035190 | Naomi Leedie | Social Worker | 2 Townpark Ln Apt B, Charleston, SC 29412-2516 | 2017-10-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.