Mallory Lamm, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4509C Issued in AL

Practice address

4517 Pine Tree Cir
Vestavia, AL 35243-2307

Phone

(205) 915-7642

NPI assigned

Feb 10, 2021

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

Electronic endpoints 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.

• Mallory Lamm LLC

  • Clinical Social Worker
  • Vestavia, AL
  • NPI 1982299707
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1982296844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 OLD ROCKY RIDGE LN",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165343",
            "telephone_number": "256-682-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 PINE TREE CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432307",
            "telephone_number": "205-915-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "MALLORY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4509C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IOT",
            "affiliation": "N",
            "endpointDescription": "HIPPA complaint Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4517 Pine Tree Cir",
            "city": "Vestavia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352432307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Knight, CRNA
• Kelsey Knorr, PHARMD
• Patricia Kopec, BCBA
• Ronda Lacey, RPH
• Ladies Health Boutique,Inc
• Rachel Land, CRNA
• Bryce Alan Landwehr, LPC, NCC
• James Kevin Langston, RPH
• Claire Moore Lankford, PHD
• Morgan Lassitter

• Clinical Social Worker in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.