| Mrs Mackenzie Mattingly, LCSW | |
|
300 Stonecrest Blvd Ste 310, Smyrna, TN 37167-6801 | |
| (629) 606-6858 | |
| Not Available |
| Full Name | Mrs Mackenzie Mattingly |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 300 Stonecrest Blvd Ste 310, Smyrna, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194476846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW0000008562 (Tennessee) | Primary |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mackenzie Mattingly, LCSW 141 Hicks Rd, Nashville, TN 37221-3401 Ph: (615) 332-2984 | Mrs Mackenzie Mattingly, LCSW 300 Stonecrest Blvd Ste 310, Smyrna, TN 37167-6801 Ph: (629) 606-6858 |
Oluwatoyin Ruth Ajogbeje, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Mayfield Dr Unit 1162, Smyrna, TN 37167 Phone: 615-241-0704 | |
Jonathan L Wentworth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8th Ave, Bldg 250, Smyrna, TN 37167 Phone: 615-267-7121 | |
Erin Kenny, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 695 President Pl Ste 202, Smyrna, TN 37167 Phone: 615-269-4990 Fax: 615-953-9862 | |
Landra Marks Orr, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 98 Mayfield Dr Ste C, Smyrna, TN 37167 Phone: 615-319-3943 Fax: 615-461-8413 | |
Sarah Stone Paskert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1335 Rock Springs Rd, Smyrna, TN 37167 Phone: 615-459-5252 Fax: 615-459-5232 | |
Jolaunda Hoye-davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5095 Mifford Dr, Smyrna, TN 37167 Phone: 601-717-4785 Fax: 601-717-4785 |