Active NPI
Mallory Brooke Gore, M.S., CCC-SLP
- Speech-Language Pathologist
- Summerville, SC
National Provider Identifier
1144026832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8557
- Practice address
- 13 Clearblue Loop
Summerville, SC 29486-5431 - Phone
- (803) 760-2360
- NPI assigned
- Feb 22, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8557 | SC | Primary |
Addresses
Primary practice location
13 Clearblue Loop
Summerville, SC 29486-5431
Mailing address
186 Seven Farms Dr Ste F
Daniel Island, SC 29492-8522
Phone (803) 814-3812
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8557 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1144026832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 SEVEN FARMS DR STE F",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928522",
"telephone_number": "803-814-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 CLEARBLUE LOOP",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294865431",
"telephone_number": "803-760-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "MALLORY",
"middle_name": "BROOKE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-22",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.