Provider Demographics
NPI:1528652625
Name:MATTY, MARIA (LMSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MATTY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 MAYNOR ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3024
Mailing Address - Country:US
Mailing Address - Phone:931-247-2921
Mailing Address - Fax:
Practice Address - Street 1:5409 MARYLAND WAY STE 130
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5560
Practice Address - Country:US
Practice Address - Phone:615-249-8059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
76201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical