Mattingly, Kelley

Mattingly, Kelley is an individual health care provider with primary practice located at 11100 Billingsley Rd , Waldorf MD 20602-3400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mattingly, Kelley can be contacted via phone (610) 994-2968.

Contact Information

Primary practice address
11100 Billingsley Rd Waldorf MD 20602-3400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457096059
LBN Legal business name Mattingly, Kelley
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Oct 14th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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