Mallory Nicole Fowler

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ACSW81847 Issued in CA

Practice address

520 E Tulare Ave
Visalia, CA 93292-3629

Phone

(559) 623-0496

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eminence Healthcare, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fresno, CA
  • NPI 1881060242
  NPD (past)
• Sjet Clinical Services

  • Clinical Social Worker
  • Sanger, CA
  • NPI 1013410885
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1982127262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923629",
            "telephone_number": "559-623-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923629",
            "telephone_number": "559-623-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7485 N. Palm Avenue, Suite 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "559-221-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2570 Jensen Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "936572269",
            "country_code": "US",
            "telephone_number": "559-399-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MALLORY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW81847",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Sage Foster, PA-C, MPH
• Mitchell Grant Foster, MD
• Fotros Psychiatric Group PC
• Aryandokht Fotros, M.D., M.SC
• Foundation for Medical Care of Tulare Kings Counties Inc
• Fox Valley Family Dentistry
• Patricia Fox
• Shawn Michael Fox, D.D.S.
• James William Foxe, MD
• Kevin Franck

• Social Worker in Visalia, CA
• Providers in Visalia, CA by specialty
• Social Worker in California

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