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NPI · 1053965202 · NPPES-sourced

Dionetta Mallory

ActiveClinical Social Worker
NPI Number
1053965202
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
Not listed
License CA · 87217
Last Updated
About 6 years ago (Jul 2019)
Enumerated 2019-07-26
Primary practice addressCA · 95204-5502
2510 N California StStockton, CA 95204-5502
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About this NPIWhat this record shows.

NPI 1053965202 is registered to Dionetta Mallory, a Clinical Social Worker practising at 2510 N California St in Stockton, California. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dionetta Mallory has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-07-26
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dionetta Mallory accepts. To confirm in-network status with your specific health plan, contact Dionetta Mallory directly.

Frequently asked

Yes. NPI 1053965202 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at the phone number on file.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dionetta Mallory is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated2019-07
Enumerated2019-07-26
StatusActive
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