Active NPI
Mallory M Kestler
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1073348884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 33505 Schoolcraft Rd
Livonia, MI 48150-1503 - Phone
- (734) 458-4601
- NPI assigned
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
33505 Schoolcraft Rd
Livonia, MI 48150-1503
Mailing address
23128 Glenmoor HTS
Farmington Hills, MI 48336-3534
Phone (248) 234-1990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1073348884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23128 GLENMOOR HTS",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483363534",
"telephone_number": "248-234-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33505 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501503",
"telephone_number": "734-458-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTLER",
"first_name": "MALLORY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.