Mary Dang Mallinson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101045 Issued in CA

Practice address

2650 Camino del Rio N Ste 305
San Diego, CA 92108-1632

Phone

(619) 363-1920

NPI assigned

Sep 30, 2021

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Dang Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kendra Penski Licensed Clinical Social Worker Inc

  dba Freedom Within Therapy and Wellness Center

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1548700891
  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1275205049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081632",
            "telephone_number": "619-363-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081632",
            "telephone_number": "619-363-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINSON",
        "first_name": "MARY",
        "middle_name": "DANG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Malles-Overcast, RADT
• Christina Marie Malles, PA
• Jason Alexander Mallett, MD
• Jennifer Christine Malley, R.N.
• Katherine Mallinson, NTP
• Gretchen Louise Mallios, LCSW
• Jamie Lee Mallorca, LVN
• Mary Mallory, NP
• Robert J Mallory, MSPH, MPAS, PA-C
• Lacey Paige Mallow, RN

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.