Mallory Dianne Smith, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2024023419 Issued in MO

Practice address

300 Galaxie Ave
Harrisonville, MO 64701-2084

Phone

(844) 853-8937

Fax

(660) 885-3690

NPI assigned

Nov 11, 2025

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

• Mallory Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1356211692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "844-853-8937",
            "fax_number": "660-885-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GALAXIE AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012084",
            "telephone_number": "844-853-8937",
            "fax_number": "660-885-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MALLORY",
        "middle_name": "DIANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024023419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "JACKSON",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett Aaron Simon, DPT
• Shera Ann Sims, D.D.S
• Smith Chiropractic Pain Center PC
• Jacob Robert Smith
• Katheryn M Smith, APRN, PMHNP, FNP
• Tyrone P. Smith Sr., D.C.
• Snider & Associates Optometry, PC
• Larry D Snider, O.D.
• Kristy Spriggs, LCSW
• SRZ Op Abc LLC

• Social Worker in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.