Regina Mallory Mallory, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

989-LCSW Issued in MT

Practice address

142 Stillwater Loop
Columbus, MT 59019-7326

Phone

(913) 558-7638

NPI assigned

Jun 14, 2011

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1467747808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 STILLWATER LOOP",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590197326",
            "telephone_number": "913-558-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 STILLWATER LOOP",
            "city": "COLUMBUS",
            "state": "MT",
            "postal_code": "590197326",
            "telephone_number": "913-558-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "REGINA",
        "middle_name": "MALLORY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "989-LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard K. Klee, MD
• Michelle Cherie Kline, FNP-C
• Nicole Rae Legere, FNP
• Brian F Luepke, M.D.
• Valerie Maeker, OT
• Margaret Zoe Matchett, RPH
• Matovich Enterprises Inc
• Matovich Enterprises Inc (Stillwater Family Pharmacy)
• Michael Robert Matovich, RPH
• Chris Ann McCann, MS, LAC, LCPC

• Clinical Social Worker in Columbus, MT
• Providers in Columbus, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.