MALLORY MARIE CARLSON (NPI# 1487154613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487154613 |
Entity Type | Individual |
Full Name | MALLORY MARIE CARLSON |
Practice Address |
190 E Bannock St Boise ID 83712-6241 |
Practice Telephone | 2083812616 |
Practice Fax Number | 2083813042 |
Mailing Telephone | 2083812616 |
Mailing Fax Number | 2083813042 |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | LMSW-37154 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437637865 | Mallory E Carlson | Acupuncturist | 2545 Chicago Ave Ste G10, Minneapolis, MN 55404-4569 | 2018-07-28 |
Street Address |
190 E BANNOCK ST |
City | BOISE |
State | ID |
Zip Code | 83712-6241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
1275133944 | St Lukes Health System Ltd | General Acute Care Hospital | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-30 |
1750980017 | Andrea Johnson Murray | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-19 |
1679180103 | Katie Marie Pond | Social Worker | 190 E Bannock St, Boise, ID 83712-6241 | 2020-09-29 |
1780297762 | Alexandria Marie Schultz | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-28 |
1225640048 | Tania Michelle Villanueva-sanchez | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-21 |
1154931426 | Brittany Nichole Galop | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-03 |
1558970046 | Emily Michelle Bush | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-30 |
1699393447 | Chadd Miller Ramos | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-08 |
1740819127 | Lindzee Searle | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
Find all providers in zip 83712 |
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 |
---|---|---|---|---|
1720691249 | Uzima Health Services LLC | Social Worker | 1111 S Orchard St Ste 245, Boise, ID 83705-1964 | 2020-08-25 |
1639789720 | Kylie Langer | Social Worker | 161 E Mallard Dr Ste 100, Boise, ID 83706-5015 | 2020-08-04 |
1184242299 | Andrea Gilman | Social Worker | 1985 N Maple Grove Rd, Boise, ID 83704-6931 | 2020-07-06 |
1134741820 | Cristina Maria Vieira | Social Worker | 148 S Cole Rd, Boise, ID 83709-0932 | 2020-05-15 |
1558994558 | Tasha Irene Lundquist | Social Worker | 1475 S Latah St, Boise, ID 83705-2920 | 2020-02-18 |
1528690179 | Jeremiah Osborn | Social Worker | 921 S Orchard St Ste 101, Boise, ID 83705-1916 | 2020-02-11 |
1285273516 | Kristina Souto-maior | Social Worker | 2995 N Cole Rd Ste 270&260, Boise, ID 83704-5964 | 2020-01-03 |
1588212021 | Kirsten Giles | Social Worker | 1513 N 22nd St, Boise, ID 83702-0403 | 2019-08-28 |
1003468521 | Daniel James Griffin | Social Worker | 10787 W Ustick Rd, Boise, ID 83713-5104 | 2019-07-15 |
1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
Find all providers in BOISE |
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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.