Mallory Brooke Mayer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114542 Issued in MI

Practice address

229 E Michigan Ave Ste 345
Kalamazoo, MI 49007-6403

Phone

(269) 993-4373

NPI assigned

May 6, 2022

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

State licenses

Practice roles

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.

• Kelsea a Howell PLLC

  • Counselor
  • Kalamazoo, MI
  • NPI 1649765298

  Clinical

  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1457097149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 PRIMROSE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244941",
            "telephone_number": "616-566-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E MICHIGAN AVE STE 345",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076403",
            "telephone_number": "269-993-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MALLORY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie May, LPC
• Lindsay May
• Liza May, SPECIALIST
• Sarah Marie May, LMSW
• Melissa Maya
• William J Mayer, MD
• Bethany Alice Mayes, M.A., CCC-SLP
• Whitney R Mayfield
• Alexis Anne Mayhew, MD
• Jonathan A Mayhew, MD

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.