Active NPI
Schaller Marie Mahoney, MSW, LCSW
- Clinical Social Worker
- Edmond, OK
National Provider Identifier
1801190483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108401
- Practice address
- 501 E 15TH St Ste 400a
Edmond, OK 73013-5046 - Phone
- (405) 216-5240
- Fax
- (405) 285-0294
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | 108401 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
501 E 15TH St Ste 400a
Edmond, OK 73013-5046
Mailing address
10021 Tim Tam Cir
Dallas, TX 75229-5927
Phone (405) 550-4763
Other practice location 1
4144 N Central Expy Ste 850
Dallas, TX 75204-3226
Phone (972) 865-8782
Other practice location 2
4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 424-7711
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 |
|---|---|---|---|
| 108401 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilyfield, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foster Care Agency
- Edmond, OK
- NPI 1417393836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1801190483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 TIM TAM CIR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752295927",
"telephone_number": "405-550-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 15TH ST STE 400A",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135046",
"telephone_number": "405-216-5240",
"fax_number": "405-285-0294"
}
],
"practiceLocations": [
{
"address_1": "4144 N Central Expy Ste 850",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752043226",
"country_code": "US",
"telephone_number": "972-865-8782",
"fax_number": "972-499-6935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 N Lincoln Blvd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731055104",
"country_code": "US",
"telephone_number": "405-424-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONEY",
"first_name": "SCHALLER",
"middle_name": "MARIE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "108401",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.