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

MS. Kathleen G. Mattis, LCSW

Individual provider Clinical Social Worker · NPI 1790040004

MS. Kathleen G. Mattis, LCSW is a Clinical Social Worker in Waddington, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

29 William Manor Dr
Waddington, NY 13694-3186
Phone: (315) 388-3074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 077293 (NY)

Record details

NPI number1790040004
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 12, 2012

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