Mallory Andrews, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1901497 Issued in OH

Practice address

7650 Chippewa Rd Ste 310
Brecksville, OH 44141-2319

Phone

(216) 716-7777

NPI assigned

Aug 22, 2019

Last updated

Dec 28, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Imagining the Garden LLC

  dba Season's Practice

  • Mental Health Counselor
  • Broadview HTS, OH
  • NPI 1962977892
  NPD
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1568019651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 310",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 310",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412319",
            "telephone_number": "216-716-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 E Royalton Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441472998",
            "country_code": "US",
            "telephone_number": "216-716-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MALLORY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1901497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia G. Manenti,O.D.,Inc.
• Rebecca Allgeier, LISW
• Susan Marie Ambrose, L.S.W.
• Sarah Amick
• Andrea L Feleppelle DDS LLC (Brecksville Family Dentistry)
• Alicia Aplis, LMT
• Joseph Thomas Aquilina, M.S.W.
• Shani Artino, MS, RDN, LD
• Arunika N Shah MD Inc
• Audiology Advantage, LLC

• Clinical Social Worker in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.