Gretchen Louise Mallios, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16057 Issued in CA

Practice address

3551 Front Street
San Diego, CA 92103-4815

Phone

(619) 781-2156

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Gretchen Henkle Former name

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1821145442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FRONT STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034815",
            "telephone_number": "619-781-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FRONT STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034815",
            "telephone_number": "619-781-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIOS",
        "first_name": "GRETCHEN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "HENKLE",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Marie Malles, PA
• Jason Alexander Mallett, MD
• Jennifer Christine Malley, R.N.
• Katherine Mallinson, NTP
• Mary Dang Mallinson, LCSW
• Jamie Lee Mallorca, LVN
• Mary Mallory, NP
• Robert J Mallory, MSPH, MPAS, PA-C
• Lacey Paige Mallow, RN
• Deborah Mary Malloy

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.