Active NPIIndividual provider

Mallory Johnson, MSW, LCSW

Social Worker, Clinical in Millbury, Massachusetts

NPI Number1164314308
Practice location
22 West St Ste 4A, Millbury, MA 01527-2677
Fax
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Last updated
July 21, 2025

Mallory Johnson is a Social Worker, Clinical based in Millbury, MA. Mallory Johnson practices in Millbury, MA and has the professional credentials of MSW, LCSW. The NPI Number for Mallory Johnson is 1164314308 and holds a License No. LCSW230504 (MA). The current practice location address for Mallory Johnson is 22 West St Ste 4A, Millbury, MA 01527-2677 and can be reached out via phone at 617-947-8009.

Provider Profile Details

NPI Number
1164314308
Provider Name
Mallory Johnson
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
22 West St Ste 4A, Millbury, MA 01527-2677
Phone Number
617-947-8009
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2025
Last Update Date
July 21, 2025
Certification Date
July 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 West St Ste 4A
Millbury, MA 01527-2677
Zip
01527-2677
Phone Number
617-947-8009
Millbury, MA 01527Get directions →

Provider Business Mailing Address Details

Address
22 West St Ste 4A
Millbury, MA 01527-2677
City
Millbury
State
MA
Zip
01527-2677

License Information

License Number
LCSW230504
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mallory Johnson, MSW, LCSW?

The NPI number of Mallory Johnson, MSW, LCSW is 1164314308. It was assigned on July 21, 2025 and is currently active in the NPPES registry.

What is the specialty of Mallory Johnson, MSW, LCSW?

Mallory Johnson, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LCSW230504.

Where does Mallory Johnson, MSW, LCSW practice?

The practice location is 22 West St Ste 4A, Millbury, MA 01527-2677. The office can be reached at 617-947-8009 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164314308 directly on the NPPES registry website.

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