Organization Active NPI

Epic Possibilities and Development

  • Clinical Social Worker
  • Tumwater, WA
National Provider Identifier
1881295566
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EPIC POSSIBILITIES AND DEVELOPMENT
Practice address
204 Custer Way SW Ste 101
Tumwater, WA 98501-3330
Phone
(360) 480-5388
NPI assigned
Nov 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Lauren Mallory, LICSWNPI 1003265257
Title
Owner
Phone
(360) 480-5388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

204 Custer Way SW Ste 101
Tumwater, WA 98501-3330

Mailing address

204 Custer Way SW Ste 101
Tumwater, WA 98501-3330
Phone (360) 480-5388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405001798 WA Part B Supplier - Clinic/Group Practice 5890102016 Receives reassigned benefits from 2 practitioners
Practice locations: Tumwater, WA

National Provider Directory

National Provider Directory

Locations

3435 Martin Way E
Ste H1
Olympia, WA 98506
Phone (360) 480-5388

204 Custer Way SW
Ste 101
Tumwater, WA 98501
Phone (360) 480-5388

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1881295566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CUSTER WAY SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013330",
            "telephone_number": "360-480-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CUSTER WAY SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013330",
            "telephone_number": "360-480-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC POSSIBILITIES AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-08",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-480-5388",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.