Michelle Mallery Patel, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1914 J N Pease PL
Charlotte, NC 28262-4504

Phone

(704) 919-3542

Fax

(704) 919-3543

NPI assigned

Nov 11, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1437486438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-919-3542",
            "fax_number": "704-919-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-919-3542",
            "fax_number": "704-919-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLERY PATEL",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallard Creek Chiropractic Group
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• Mallard Creek Therapeutic Services
• Michelle Parker Mallen, M.S, CCC-SLP
• Anna Catherine Malles, LCSWA
• Caroline E Malles
• Shwetha Mallesara Sudhakar
• Thierry Mitchel Mallet, M.D.
• Emily Mallobe

• Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.