Annamarie H. Mattox, BSW, MSW, LCSW
NPI 1366836579ActiveIndividual· Social Worker, Clinical· Jefferson, OR
Social Worker, Clinical (BSW, MSW, LCSW) with Sondermind PA, practicing in Jefferson, Oregon. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1366836579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSW, MSW, LCSW |
| Sole proprietor | No |
| NPI issued | Mar 25, 2015 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L10905 | OR |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker | 104100000X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OR) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Sondermind PAKalamazoo, MI · 79 clinicians