MALLORIE ELY (NPI# 1871925834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871925834 |
| Entity Type | Individual |
| Full Name | MALLORIE ELY |
| Credential | LCSW |
| Practice Address |
420 N 2nd Ave Sandpoint ID 83864-1565 |
| Mailing Address |
Po Box 484 Kootenai ID 83840-0484 |
| Practice Telephone | 2086100996 |
| Mailing Telephone | 2086100996 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LCSW35962 | ID | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 476394 Highway 95, Suite 201, Ponderay, ID 838525014 | 2082638833 | 2082631528 |
| Street Address |
420 N 2ND AVE |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497781702 | Camille Marie Santarpio | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-06-26 |
| 1316343320 | Boundary Regional Community Health Center, Inc. | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2014-11-18 |
| 1457778151 | Beth Elisha Miller | Physician Assistant | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2014-03-20 |
| 1851738041 | Teresa Ann Kuhta | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2013-05-28 |
| 1760691851 | Echo T Vanderwal | Physician Assistant | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1881803971 | Harry Ralph Vanderwal Jr. | Pediatrics | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1700968724 | John M Seaman | Pediatrics | 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864-1565 | 2006-10-19 |
| 1497789085 | James Harvey Watts IIi | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-07-10 |
| 1689604993 | Bruce Whitley Honsinger | Obstetrics & Gynecology | 420 N 2nd Ave, Suite 200, Sandpoint, ID 83864-1552 | 2006-07-03 |
| 1114954179 | Sandpoint Pediatrics LLP | Pediatrics | 420 N 2nd Ave, 100, Sandpoint, ID 83864-1552 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| 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 |
|---|---|---|---|---|
| 1467002923 | Glidden Counseling, LLC | Social Worker | 1224 Washington Ave Ste 205, Sandpoint, ID 83864-5055 | 2019-09-17 |
| 1851841969 | Amanda Louise Russell | Social Worker | 1315 Highway 2 Ste 3, Sandpoint, ID 83864-2724 | 2016-10-12 |
| 1396082921 | Paul Zarodkiewicz | Social Worker | 618 S Division Ave, Sandpoint, ID 83864-1749 | 2013-01-16 |
| 1225178858 | Reed W. Tate | Social Worker | 212 N 1st Ave Ste G101, Sandpoint, ID 83864-1400 | 2007-02-06 |
| 1700424041 | Joshua Aaron Barnes | Social Worker | 2023 Sandpoint West Dr, Sandpoint, ID 83864-7304 | 2019-12-17 |
| 1477112795 | Amanda Rose Sutliff | Social Worker | 618 S Division Ave, Sandpoint, ID 83864-1749 | 2019-06-10 |
| 1154836427 | Bambi Lassen, Msw, Lcsw, Pllc | Social Worker | 102 S Euclid Ave Ste 111, Sandpoint, ID 83864-4916 | 2017-12-08 |
| 1851801500 | Shannon Marie Perkins Baker | Social Worker | 513 N 4th Ave, Sandpoint, ID 83864-1585 | 2017-10-09 |
| 1982064762 | Linda Evans | Social Worker | 520 N Third Ave, Sandpoint, ID 83864-1507 | 2016-03-07 |
| 1558734483 | Courtney Riddle | Social Worker | 608 S Division Ave, Sandpoint, ID 83864-1749 | 2015-10-30 |
| Find all providers in SANDPOINT | ||||
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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.