MALLORY KIERNAN (NPI# 1073027538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073027538 |
| Entity Type | Individual |
| Full Name | MALLORY KIERNAN |
| Credential | APSW |
| Practice Address |
778 Lois Dr Sun Prairie WI 53590-1100 |
| Mailing Address |
17 S River St Ste 254 Janesville WI 53548-3863 |
| Practice Telephone | 6087555260 |
| Practice Fax Number | 6087555267 |
| Mailing Telephone | 6087555260 |
| Mailing Fax Number | 6087555267 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 130860 | WI | Behavioral Health & Social Service Providers |
| Street Address |
778 LOIS DR |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346684560 | Theresa M Tomsyck | Counselor | 778 Lois Dr, Sun Prairie, WI 53590-1100 | 2013-04-18 |
| 1295375277 | Alise Dobrot | Dietitian, Registered | 778 Lois Dr, Sun Prairie, WI 53590-1100 | 2020-01-08 |
| 1427463066 | Trivium LLC | Clinic/Center | 778 Lois Dr, Sun Prairie, WI 53590-1100 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688797 | Kimberly Ann Robertson | Social Worker | 1001 Okeeffe Ave Apt 128, Sun Prairie, WI 53590-4138 | 2020-01-13 |
| 1255432662 | Lisa Jane Hecht | Social Worker | 300 Broadway Dr, Sun Prairie, WI 53590 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1336752773 | Karin Y Luskey | Social Worker | 713 Penny Ln, Hudson, WI 54016-7955 | 2020-08-25 |
| 1114538162 | Anne J Lupo Gondwe | Social Worker | 24178 1st Ave Ste 2, Siren, WI 54872-8220 | 2020-08-13 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1508482647 | Cristin M Burkeland | Social Worker | 629 River St, Belleville, WI 53508-9189 | 2020-06-24 |
| 1568088664 | Jacob Morris | Social Worker | 281 Parkside Dr Apt 123, Whitewater, WI 53190-2220 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
Please comment or provide details below to improve the information on MALLORY KIERNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.