Mallory Lynn Gary, PH.D, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150129674 Issued in IL

Practice address

324 S 4TH St
Marion, IL 62959-1241

Phone

(618) 816-5362

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By 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)

Not enrolled

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1841105434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SMITH ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011131",
            "telephone_number": "618-353-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S 4TH ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591241",
            "telephone_number": "618-816-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150129674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Marie Galan, M.D.
• Max Stephen Galt, D.C.
• Hannah Garascia, AAS
• Kimberly Garcia
• Joshua Garrett
• Huong N Gass, NP
• Devon Gaston
• Alexandra Gauthier, BA
• Ted Gennerman, PH.D
• Richard Joseph George Jr., M.D.

• Social Worker in Marion, IL
• Providers in Marion, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.