Corey Jamian Mallette, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21896 Issued in FL

Practice address

2851 Skipper St
The Villages, FL 32163-0387

Phone

(917) 836-2646

NPI assigned

Oct 4, 2016

Last updated

Aug 8, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1811446735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 SKIPPER ST",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 SKIPPER ST",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630387",
            "telephone_number": "917-836-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "COREY",
        "middle_name": "JAMIAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Pharmacyone LLC
• Maha Sai LLC (Lake Sumter Landing Pharmacy)
• William Barton Mahan, HAS-BC 1808
• Jamie Mahaney, DC
• Seemab Nazar Malik, M.D.
• Kirkland Malone
• Thomas J Mammana, NRP
• Kenneth Mandato
• Edelyn Marie Manning Pagan, MD
• Miguel Mantilla-Villamizar, MD

• Clinical Social Worker in The Villages, FL
• Providers in The Villages, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.