Active NPI
Gabriella Alexzandria Mallory
- Social Worker
- Detroit, MI
National Provider Identifier
1124824461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2470 Collingwood St Ste 217
Detroit, MI 48206-1500 - Phone
- (248) 884-7645
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2470 Collingwood St Ste 217
Detroit, MI 48206-1500
Mailing address
19206 Grandview St
Detroit, MI 48219-1693
Phone (313) 675-3426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1124824461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19206 GRANDVIEW ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191693",
"telephone_number": "313-675-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 COLLINGWOOD ST STE 217",
"city": "DETROIT",
"state": "MI",
"postal_code": "482061500",
"telephone_number": "248-884-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "GABRIELLA",
"middle_name": "ALEXZANDRIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.