Individual provider · Type 1 NPI

Kelley Mattingly, LCSW-C

Clinical Social Worker · Waldorf, MD

NPI number 1457096059 Active

Practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Call (610) 994-2968 Map

Mailing address

2701 Renaissance Blvd Fl 4
King Of Prussia, PA 19406-2781

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1457096059

Kelley Mattingly, LCSW-C's National Provider Identifier is 1457096059, issued on Apr 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waldorf, MD. The record was last updated on Oct 14, 2025.