MEDICARE: MRS. MACKENZIE MATTINGLY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LSW0000008562	TN

General Provider Information

NPI Number	:	1194476846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MACKENZIE MATTINGLY LCSW

Provider Business Mailing Address
First Line	:	141 HICKS RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-3401
Country	:	US
Telephone Number	:	615-332-2984
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 STONECREST BLVD STE 310
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6801
Country	:	US
Telephone Number	:	629-606-6858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	02/13/2026

Similar Medicare Providers

1508864406 — CHARLENE N BUNGER WHNP
Practice Location Address:

300 STONECREST BLVD STE 310
SMYRNA, TN
37167-6801

Practice Phone: 629-206-6858
Practice Fax:

1598745440 — MRS. ANNE BUNNY DONNELLY WOLF PT
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 616-278-1660
Practice Fax: 615-267-6603

1487603874 — NATHAN PATRICK HOOD PT
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 615-278-1660
Practice Fax: 615-267-6603

1992758981 — JURIS SHIBAYAMA MD
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 615-267-6600
Practice Fax: 615-267-6603

1336314152 — CASEY ANNE GRAHAM CRNP
Practice Location Address:

300 STONECREST BLVD STE 310
SMYRNA, TN
37167-6801

Practice Phone: 629-206-6858
Practice Fax:

1710213012 — MR. DANIEL JOSEPH GRIFFITH P.T.
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 615-278-1660
Practice Fax: 615-267-6602

Directions to “ MRS. MACKENZIE MATTINGLY LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.