Active NPI
Kari Michelle Mallory, MSW, LSW, ACM
- Social Worker
- Middletown, OH
National Provider Identifier
1588090138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0031277
- Practice address
- 4337 Union Rd
Social Worker
Middletown, OH 45005-5211 - Phone
- (513) 423-8387
- Fax
- (513) 423-3309
- NPI assigned
- Sep 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0031277 | OH | Primary |
Addresses
Primary practice location
4337 Union Rd
Social Worker
Middletown, OH 45005-5211
Mailing address
4337 Union Rd
Social Worker
Middletown, OH 45005-5211
Phone (513) 423-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0031277 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1588090138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4337 UNION RD",
"address_2": "SOCIAL WORKER",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055211",
"telephone_number": "513-423-8387",
"fax_number": "513-423-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4337 UNION RD",
"address_2": "SOCIAL WORKER",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055211",
"telephone_number": "513-423-8387",
"fax_number": "513-423-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "KARI",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MSW, LSW, ACM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-15",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0031277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.