Mallory Jordan Merryman, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

607 W 18TH St
Wilmington, DE 19802-4707

Phone

(302) 888-2233

NPI assigned

Jun 1, 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

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: mallory.merryman.1@2819.direct.athenahealth.com

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1114307600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024707",
            "telephone_number": "845-304-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 18TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024707",
            "telephone_number": "302-888-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 French King Hwy",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011337",
            "country_code": "US",
            "telephone_number": "413-588-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRYMAN",
        "first_name": "MALLORY",
        "middle_name": "JORDAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meroe Enterpises
• Michael Douglas Merrill
• Thomas R Merring, P.A.
• Cheryl Merritt, M.S., OTR L
• Faith Maura Merritt
• Joseph J Mesa, MD
• Lauren Messick
• Jennifer Diane Metaxas, M.S. CCC-SLP
• Sharon J Metaxas, LCSW
• Ramaz Metreveli, M.D.

• Social Worker in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.