Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly Ruth Mattingly-Cloer

Individual provider Counselor · NPI 1053040048

Mrs. Kimberly Ruth Mattingly-Cloer is a Clinical Social Worker in Statesville, North Carolina. Qualified in 2015, 11 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

1812 Davie Ave
Statesville, NC 28677-3524
Phone: (704) 450-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C014138 (NC)

Record details

NPI number1053040048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated

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