Mallory Suzanne Barrett, MSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801117532 Issued in MI

Practice address

238 Hoover Blvd Ste 30
Holland, MI 49423-3782

Phone

(616) 312-2989

Fax

(616) 294-4202

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arbor Circle Corporation

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1174601512

  Mental Health

  NPD (past)
• Arbor Circle Corporation

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1740585330
  NPD (past)

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1104219971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BALL AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055904",
            "telephone_number": "616-456-6571",
            "fax_number": "616-235-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 HOOVER BLVD STE 30",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233782",
            "telephone_number": "616-312-2989",
            "fax_number": "616-294-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ball Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495055904",
            "country_code": "US",
            "telephone_number": "616-456-6571 x1326",
            "fax_number": "616-235-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MALLORY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801117532",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara S. Drozdowski MD, PC
• Anthony Dayton Barclay, MD
• Madison Barense, LMT
• Allison Colleen Barnes, DPT
• Lexi Kristine Barnhart
• Peyten Barrigar, NP-C
• Linnette Bartels, BT
• Katrina Basel, MA, TMLP
• Peter Henry Bast, M.D.
• Robert Bates, M.D.

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.