KATHLEEN C MATTUCCI


Address: 2475 Village Ln, Suite 102, Billings, MT 59102-2497
Phone: 4062597288

KATHLEEN C MATTUCCI (NPI# 1740490853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740490853
Entity Type Individual
Full Name KATHLEEN C MATTUCCI
Other Name KATHLEEN HEYNEMAN
Credential LCSW
Practice Address 2475 Village Ln
Suite 102
Billings
MT 59102-2497
Mailing Address Po Box 21096
Billings
MT 59104-1096
Practice Telephone 4062597288
Practice Fax Number 4062940967
Mailing Telephone 4062597288
Mailing Fax Number 4062940967
Enumeration Date 2007-05-23
Last Update Date 2015-04-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 519 LCSW MT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT BCBS 70096 01

Office Location

Street Address 2475 VILLAGE LN
SUITE 102
City BILLINGS
State MT
Zip Code 59102-2497

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609882810 Lagreca Eye Clinic PC Ophthalmology 2475 Village Ln, Suite 202, Billings, MT 59102-2497 2006-07-31
1255708335 Valerie Ramsay Counselor 2475 Village Ln, Suite 102, Billings, MT 59102-2497 2015-08-25
1497162911 Pacific Medical, Inc. Durable Medical Equipment & Medical Supplies 2475 Village Ln, Ste 100, Billings, MT 59102-2497 2014-07-16
1770860645 Barbara Pellant Mende Counselor 2475 Village Ln, Ste 102, Billings, MT 59102-2497 2011-11-07
1205165735 Safe Harbor Therapeutic Services LLC Counselor 2475 Village Ln, Ste 102, Billings, MT 59102-2497 2009-12-11
1780866251 Lagreca Eye Clinic, PC Ophthalmology 2475 Village Ln, Ste 202, Billings, MT 59102-2497 2007-11-27
1427239029 Judith Leota Starr I Counselor 2475 Village Ln, 101, Billings, MT 59102-2497 2007-11-25
1801921713 Larry D Erpenbach Optometrist 2475 Village Ln, Suite 202, Billings, MT 59102-2497 2007-02-22
1992840128 Brian A Lagreca Ophthalmology 2475 Village Ln, Suite 202, Billings, MT 59102-2497 2007-02-21
1508878315 Karen Johnson Kietzman Psychologist 2475 Village Ln, Suite 104, Billings, MT 59102-2497 2006-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700402336 Stephanie Diane Adkins Counselor 1726 Lampman Dr., Billings, MT 59102 2020-06-19
1366072563 Carrie L Barton Assistant Behavior Analyst 1701 Avenue E Suite A, Billings, MT 59102 2020-01-16
1407418080 Lori Lyn Strickler Massage Therapist 2901 Monad Road, Apt. 99, Billings, MT 59102 2019-07-03
1649754300 Native American Development Corporation Clinic/Center 1230 North 30th Street, Billings, MT 59102 2018-09-19
1396235818 Better Times Recovery Services LLC Clinic/Center 1925 Grand Ave Ste 103, Billings, MT 59102 2018-05-10
1982118428 Family Support Network Counselor 1002 10th Street West, Suite 1, Billings, MT 59102 2017-11-20
1598281859 Billings Clinic Specialty Supplies and Services, LLC Durable Medical Equipment & Medical Supplies 1015 Broadwater Ave Ste 102, Billings, MT 59102 2017-08-18
1326564857 Billings Clinic Specialty Supplies and Services, LLC Pharmacy 1015 Broadwater Ave Ste 101, Billings, MT 59102 2017-08-16
1326586124 Bailey K. Wilson Behavior Technician 3101 Lynn Ave., Apt. #3, Billings, MT 59102 2017-02-01
1588108120 Angela Grimm Counselor 1200 30th St W, Billings, MT 59102 2016-12-16
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396159034 Inner Child Inc Social Worker 3225 1st Ave N Ste 110, Billings, MT 59101-2104 2014-06-19
1487939997 Yvonne (eve) A Benson Social Worker 4188 King Ave E, Ponderosa School, Billings, MT 59102-5444 2011-10-15
1982857801 Danielle Marie Eldridge Social Worker 1050 S 25th St W, Billings, MT 59102-7417 2008-10-23
1164671061 Kelly Petit Social Worker 404 N 31st St Ste 108, Billings, MT 59101-1211 2008-09-16
1386810018 Linda A Spang Social Worker 410 S 26th St, Billings, MT 59101-4163 2008-05-02
1306021399 Linda J Williams Lcsw PC Social Worker 1925 Grand Ave Ste 107, Billings, MT 59102-2762 2008-01-08
1861504888 Ashley Anne Abbey Social Worker 208 N Broaday Ste 423, Yellowstone Counseling Center, Billings, MT 59101 2006-08-31
1386759090 Linda Williams Social Worker 1925 Grand Ave, Suite 116a, Billings, MT 59102-2764 2006-08-20
1386630275 Jeffrey S Cummins Social Worker 409 Wyoming Ave, Billings, MT 59101-1743 2005-09-26
1649266537 Anne S Harris Social Worker 490 N 31st St Ste 107, Transwestern 2, Billings, MT 59101-1256 2005-09-26
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City BILLINGS
Zip Code 59102

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Dataset Information

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.

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