Mallory A Pryor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10112 Issued in LA

Practice address

4615 Government St
Building 2
Baton Rouge, LA 70806-5820

Phone

(225) 925-0445

Fax

(225) 925-1972

NPI assigned

Jul 30, 2008

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

Other names 1

• Mallory A Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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

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.

• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1174681852

  Clinical

  NPD
• Capital Area Human Services District

  • Adult Medicine Physician
  • Baton Rouge, LA
  • NPI 1609609023
  NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1710047980
  NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1730104654
  NPD

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1124284138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-0445",
            "fax_number": "225-925-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-0445",
            "fax_number": "225-925-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "MALLORY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "MITCHELL",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Clark Prudhomme, M.D.
• Louis Gordon Pruitt, M.D.
• Dominique Pryer
• Lakeisha Danielle Pryer
• Veronica Evette Pryor-Faciane, PLPC
• Psy Matters, LLC
• Psychcare of Louisiana, LLC
• Psychiatry Assocaties of Baton Rouge LLC
• PTG2, LLC
• Philippe Emile Pucheu, PHARMD

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.