MALLORY MARIE CARLSON


Address: 190 E Bannock St, Boise, ID 83712-6241
Phone: 2083812616

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW-37154 ID Behavioral Health & Social Service Providers

Other Providers MALLORY CARLSON

NPI Name Taxonomy Address Enumeration
1437637865 Mallory E Carlson Acupuncturist 2545 Chicago Ave Ste G10, Minneapolis, MN 55404-4569 2018-07-28

Office Location

Street Address 190 E BANNOCK ST
City BOISE
State ID
Zip Code 83712-6241

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BOISE
Zip Code 83712

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Dataset Information

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.

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