Individual provider Active NPI

Mallorie Danielle Smolen, LCSW

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1346597887
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1269 Cleveland Ave Ste 2
Loveland, CO 80537-4724
Phone
(970) 573-1655
Fax
(855) 217-8024
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1269 Cleveland Ave Ste 2
Loveland, CO 80537-4724

Mailing address

2950 Mountain Lion Dr Apt 107
Loveland, CO 80537-8965
Phone (970) 573-1655

Other names 1

  • Mallorie Cronkite Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150414002501 CT Practitioner - Clinical Social Worker 9739407180 Reassigns benefits to 1 organization
I20200824000632 CO Practitioner - Clinical Social Worker 9739407180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Community and Family Services, Inc. CurrentSince Mar 1, 2015 Accepting new patients
The Other Road Counseling PLLC Clinical CurrentSince Jun 1, 2020 Accepting new patients
United Community and Family Services, Inc. CurrentSince Mar 1, 2015 Accepting new patients
The Other Road Counseling PLLC Clinical Past Accepting new patients
The Other Road Counseling PLLC Clinical Past Accepting new patients
The Other Road Counseling PLLC Clinical Past Accepting new patients
The Other Road Counseling PLLC Clinical Past Accepting new patients

Locations

1269 Cleveland Ave
Ste 2
Loveland, CO 80537
Phone (970) 573-1655

2004 W 15th St
Ste 2
Loveland, CO 80538
Phone (970) 217-2486

2004 W 15th St
Ste 4
Loveland, CO 80538
Phone (970) 217-2486

231 W 4th St
Ste 106
Loveland, CO 80537
Phone (860) 208-3396

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

47 Town St
Norwich, CT 06360

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1346597887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MOUNTAIN LION DR APT 107",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378965",
            "telephone_number": "970-573-1655",
            "fax_number": "855-217-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 CLEVELAND AVE STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805374724",
            "telephone_number": "970-573-1655",
            "fax_number": "855-217-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEN",
        "first_name": "MALLORIE",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORIE",
            "last_name": "CRONKITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.