# ANNAMARIE H MATTOX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366836579
- **Gender:** F
- **Credential:** BSW, MSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 104100000X | Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | L10905 | OR | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 05/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500705747 | — | OR |