Individual provider · Type 1 NPI

Ashlynn Mattingly, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1417544487 Active

Practice location

2851 Charlevoix Dr SE Ste 323
Grand Rapids, MI 49546-7092

Fax (616) 458-8129

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801109095 (MI)

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 1417544487

Ashlynn Mattingly, LMSW's National Provider Identifier is 1417544487, issued on Dec 24, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 11, 2026.