Mallory Renee Carpenter, RSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11616 Southfork Ave
Baton Rouge, LA 70816-5241

Phone

(225) 291-9718

NPI assigned

Oct 28, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1689218125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 UNION DR",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "707102477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 SOUTHFORK AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165241",
            "telephone_number": "225-291-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MALLORY",
        "middle_name": "RENEE",
        "credential": "RSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15608",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol M. Patin, M.D.,a Professional Medical Corporation
• Breana R Carpenter
• Christina D. Carpenter, ACNP-BC
• Cleveland Columbus Carpenter, III, DDS
• Joseph Earl Carpenter Jr.
• Ashley Renee Carr-Robinson
• Brian Thomas Carr II, MD
• Kasey Lynn Carr, DPT
• Lashonda Carr
• Lindsey Carr

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.