Individual provider · Type 1 NPI
Kristina Nichol Mattingly, MSW
Clinical Social Worker · Vincennes, IN
Practice location
2704 Washington Ave Ste 2
Vincennes, IN 47591-3668
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 33006552A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 34007303A (IN) |
Clinical Social Worker: 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 interpers…
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About NPI 1013341601
Kristina Nichol Mattingly, MSW's National Provider Identifier is 1013341601, issued on Aug 30, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vincennes, IN. The record was last updated on Jan 9, 2025.