Charity Danielle Mattingly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ekron, Kentucky. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2615 Flaherty Rd, Ekron, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(844) 435-0900.
Charity Danielle Mattingly is licensed to practice in Kentucky (license number 259811) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811400740.
Healthcare Provider's Profile
| Full Name | Charity Danielle Mattingly |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 9 Years |
|---|
| Location | 2615 Flaherty Rd, Ekron, Kentucky |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Charity Danielle Mattingly graduated from medical school in 2017
NPI Data:
- NPI Number: 1811400740
- Provider Enumeration Date: 11/14/2017
- Last Update Date: 02/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628592664
- Enrollment ID: I20250411003269
Medical Identifiers
Medical identifiers for Charity Danielle Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811400740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 259811 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charity Danielle Mattingly allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000237 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charity Danielle Mattingly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charity Danielle Mattingly, LCSW
Po Box 1080,
Burkesville, KY 42717-1080
Ph: (270) 858-6655 | Charity Danielle Mattingly, LCSW
2615 Flaherty Rd,
Ekron, KY 40117-8805
Ph: (844) 435-0900 |
Reviews and Comments