Mallory Gauer, PLMHP, PCMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7812 Issued in NE

Practice address

11717 Burt St Ste 203
Omaha, NE 68154-1500

Phone

(402) 302-2775

NPI assigned

Jul 19, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Metro Integrative Psychiatric Care PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
  • NPI 1457006157
  NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1265112833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BURT ST STE 204",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BURT ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541500",
            "telephone_number": "402-302-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUER",
        "first_name": "MALLORY",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7812",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Gatson
• Nyafriday T Gatwech
• Sandra Jo Gau
• Kelly Gaudineer, RN
• Bryant Allan Gaudreau, CRNA
• Greggory Thomas Gausden, LMT
• Ernest D Gause
• Renee Gausman
• Kathleen Gauthier, LIMHP
• Abby M Gauvain, APRN-NP, DNP

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.