Individual provider Active NPI

Schaller Marie Mahoney, MSW, LCSW

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1801190483
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108401 Issued in TX
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

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
108401TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lilyfield, Inc. PastSince Jul 4, 2021 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.

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.

Verify at the official NPI Registry.