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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY LYNN MOODY, LISW

Active

MALLORY LYNN MOODY, LISW is a Clinical Social Worker healthcare provider located in NEWARK, Ohio. NPI 1437667755 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NEWARK, OH

Registration Details

NPI Number
1437667755
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2018 (8.568672637643 yrs)
Last Updated
Oct 15, 2021
Licenses
S.1903587 (OH)
I.2103055 (OH)
S.1700236-TRNE (OH)

Practice Information

Address
1616 W CHURCH ST STE 1
NEWARK, OH, 430551540
Browse OH providers · Browse ZIP 43055
Phone
7403198695
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Social Worker

Other Clinical Social Worker Providers in NEWARK, OH

Name Credential NPI
MS. PAUL;A S MORELAND MSW/LISW-S/QCSW 1275574857
MRS. JUDITH ANN BICKMEYER MSW 1033152202
MS. KAREN JANE KASTEN MSW, LISW-S 1558306183
MS. BARBARA GAIL BONFIELD MSW, LISW 1982630018
MR. DENNIS L. BOWERS MSW, LISW 1275561607
MS. KAREN SUE GREEN MSW, LISW 1780612093
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.