Mallory Breland Williams, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10099 Issued in LA

Practice address

8772 Quarters Lake Rd # 13-8
Baton Rouge, LA 70809-7305

Phone

(225) 694-1713

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mallory L Breland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• St. Helena Hospice, LLC

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
  • NPI 1760438253
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1225418940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 RUE DE BENOIT",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061508",
            "telephone_number": "225-241-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 QUARTERS LAKE RD # 13-8",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097305",
            "telephone_number": "225-694-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MALLORY",
        "middle_name": "BRELAND",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "BRELAND",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lee Monique Williams, PA-C
• Leslie R Williams, MSW
• Lindsay Williams, C.R.N.A.
• Lynntrell Williams
• Makayla Khalil Williams
• Mallory Wardell Williams
• Margo Williams
• Maria Shantell Williams, PH.D
• Mariah Williams
• Mary T Williams

• 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 May 2, 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.