Mallory Price, A.M., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017261 Issued in IL

Practice address

5300 S Shore Dr Ste 201
Chicago, IL 60615-5777

Phone

(708) 320-1828

NPI assigned

Oct 17, 2015

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

Other names 1

• Mallory Ann Price Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promontory Psychotherapy Inc

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1831838804
  NPD Authorized official

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1083085963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155777",
            "telephone_number": "708-320-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SHORE DR STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155777",
            "telephone_number": "708-320-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MALLORY",
        "credential": "A.M., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-17",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "PRICE",
            "middle_name": "ANN",
            "credential": "A.M., LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• June Alice Price
• Kathleen Price
• Kerem Price, APRN
• Kevin Price, LCSW, LPHA
• Maggie Price
• Octavia Shanta Price
• Olivia Price, PA-C
• Phillip Price, MA QMHP
• Rachel Price
• Sara Abigail Price, LSW

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.