Individual
HEATHER MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1810 APPLETON RD, MENASHA, WI 54952-1164
(920) 739-4226
(920) 739-7639
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12431
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12431
STATE LICENSE
WI
01
—
132927
STATE LICENSE
WI
Enumeration date
11/02/2023
Last updated
07/14/2025
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