Aaron Mallory, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019230 Issued in IL

Practice address

340 E 51St St
Chicago, IL 60615-3509

Phone

(773) 966-0333

Fax

(773) 966-0335

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1114423449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S JEFFERSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615603",
            "telephone_number": "312-441-9009",
            "fax_number": "312-441-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 51ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153509",
            "telephone_number": "773-966-0333",
            "fax_number": "773-966-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 E 114th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606284921",
            "country_code": "US",
            "telephone_number": "773-660-4630",
            "fax_number": "773-660-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "149.019230",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveed K Mallick, MD
• Rachelle Lacroix Mallik, MA, RD, LDN
• Sondra Malling, LCPC
• Taylor Mallon
• Amanda Christine Malloni, LCPC
• Erin Rebecca Mallory, MS D.T.
• Latasha Tene Mallory
• Telice Mallory
• Colleen A Malloy, MD
• Kelly Malloy

• 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 Apr 4, 2018; 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.