BENNIE CECILIA MATTOX (NPI# 1538374558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538374558 |
| Entity Type | Individual |
| Full Name | BENNIE CECILIA MATTOX |
| Practice Address |
1120 W Broad Ave Suite C-4 Albany GA 31707-4397 |
| Mailing Address |
Po Box 1988 Albany GA 31702-1988 |
| Practice Telephone | 2294304005 |
| Practice Fax Number | 2294304047 |
| Mailing Telephone | 2294304005 |
| Mailing Fax Number | 2294304047 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MSW003148 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1120 W BROAD AVE SUITE C-4 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063464212 | Albany Area Community Svc. Board | Public Health or Welfare | 1120 W Broad Ave, Albany, GA 31707-4397 | 2006-05-16 |
| 1982035853 | Pamela Hawkins | Registered Nurse | 1120 W Broad Ave, C-3, Albany, GA 31707-4397 | 2013-12-03 |
| 1770914657 | Bertha Mcdonald | Registered Nurse | 1120 W Broad Ave, C-3, Albany, GA 31707-4397 | 2013-12-03 |
| 1467883355 | Michael Bennett | Registered Nurse | 1120 W Broad Ave, Albany, GA 31707-4397 | 2013-12-03 |
| 1013345925 | Edwina Sue Jackson | Registered Nurse | 1120 W Broad Ave, Suite C 4, Albany, GA 31707-4397 | 2013-10-31 |
| 1396920591 | Catherine Greene | Social Worker | 1120 W Broad Ave, Albany, GA 31707-4397 | 2008-01-07 |
| 1760671572 | Pediatric Services of America, Inc | Nursing Care | 1120 W Broad Ave, Unit B-1, Albany, GA 31707-4397 | 2007-10-17 |
| 1659586675 | Annette Scott | Counselor | 1120 W Broad Ave, Suite A-3, Albany, GA 31707-4397 | 2007-05-12 |
| 1104031129 | Mika Rivers Krewer | Counselor | 1120 W Broad Ave, Suite C-4, Albany, GA 31707-4397 | 2007-05-12 |
| 1447307400 | Albany Area Csb | Public Health or Welfare | 1120 W Broad Ave, Albany, GA 31707-4397 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1457977043 | Latoya Palmer | Social Worker | 742 S Pearl St, Albany, NY 12202-1016 | 2020-06-19 |
| 1982226627 | Camille Hehn | Social Worker | 527 Bradford St, Albany, NY 12206-1432 | 2020-05-16 |
| 1467073916 | Ashley Mary Millington | Social Worker | 20 Bauer Dr, Albany, NY 12205-5002 | 2020-05-06 |
| 1710512264 | Ashley Nicole Hall | Social Worker | 3418 Aristedes Rd, Albany, GA 31721-7745 | 2020-03-05 |
| 1497380133 | Diane Hamon | Social Worker | 2516 Dawson Rd Ste D, Albany, GA 31707-2304 | 2020-03-03 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1588229017 | Lachandra Johnson Fields | Social Worker | 2411 Bettys Dr, Albany, GA 31705-4303 | 2019-05-09 |
| 1245796580 | Amanda Ricciardi | Social Worker | 1229 Central Ave, Albany, NY 12205-5340 | 2019-02-12 |
| 1538649785 | Courtney Kenneally Mazzone | Social Worker | 435 New Karner Rd Ste 17, Albany, NY 12205-5841 | 2018-08-17 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.