Kathleen Mattis, LCSW
NPI 1790040004 · Clinical Social Worker · Waddington, NY
Kathleen Mattis, LCSW is a Clinical Social Worker provider in Waddington, NY (NPI 1790040004).
Provider details
- NPI number
- 1790040004
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 077293 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2012-07-12
Frequently asked questions
- What is Kathleen Mattis's NPI number?
- Kathleen Mattis's National Provider Identifier (NPI) is 1790040004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Mattis's specialty?
- Kathleen Mattis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathleen Mattis located?
- Kathleen Mattis's practice location on file with NPPES is 29 William Manor Dr, Waddington, NY 13694-3186.
- What is Kathleen Mattis's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Mattis is (315) 388-3074.
- Is Kathleen Mattis's NPI active?
- Yes — Kathleen Mattis's NPI (1790040004) is active in the NPPES registry as of the last update on 2012-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.