Mallory Margaret Welsh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019897 Issued in IL

Practice address

300 W Adams St
Chicago, IL 60606-5101

Phone

(312) 578-9990

NPI assigned

Dec 13, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Managing With Mindfulness, PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1184384166
  NPD

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1902311947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065101",
            "telephone_number": "312-578-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "MALLORY",
        "middle_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "149.019897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellspire Counseling PLLC
• Wellspring Therapy, PC
• Wellsprings Health Associates
• Christina Marie Welsh, O.D.
• Clayton Robert Welsh, MD
• Sean Welsh, PSYD
• Shannon Anne Welsh
• Shea J Welsh, MD
• Lori Ann Welstead, MS, RD, LDN
• Katherine Welter, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.