Patricia Lynn Mallery, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22622 Issued in CA

Practice address

2674 E Main St Ste E442
Ventura, CA 93003-2820

Phone

(805) 826-3275

NPI assigned

Mar 22, 2007

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1023134764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 E MAIN ST STE E442",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032820",
            "telephone_number": "805-826-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 E MAIN ST STE E442",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032820",
            "telephone_number": "805-826-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLERY",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Malave, LVN
• Fernando Maldonado III, PHARM. D
• Nalleli Alfaro Maldonado, NP
• Malibu Specialty Center
• Lydia Mallare
• Christina Lauren Malone, PT, DPT, CSCS
• Jacanna ( Jaci) Maloney
• Penelope Ann Malvaez
• Farida Khay Mamalompong
• Dominique Manasson, D.C.

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.