Active NPIIndividual provider

Mallory Moniz, LCSW

Social Worker, Clinical in Pawtucket, Rhode Island

NPI Number1487488482
Practice location
101-103 Bacon St, Pawtucket, RI 02860
Fax
—
Last updated
February 14, 2025

Mallory Moniz is a Social Worker, Clinical based in Pawtucket, RI. Mallory Moniz practices in Pawtucket, RI and has the professional credentials of LCSW. The NPI Number for Mallory Moniz is 1487488482 and holds a License No. CSW03395 (RI). The current practice location address for Mallory Moniz is 101-103 Bacon St, Pawtucket, RI 02860 and can be reached out via phone at 401-722-3560.

Provider Profile Details

NPI Number
1487488482
Provider Name
Mallory Moniz
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
101-103 Bacon St, Pawtucket, RI 02860
Phone Number
401-722-3560
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2024
Last Update Date
February 14, 2025
Certification Date
February 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
101-103 Bacon St
Pawtucket, RI 02860
Zip
02860
Phone Number
401-722-3560
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
101-103 Bacon St
Pawtucket, RI 02860
City
Pawtucket
State
RI
Zip
02860

License Information

License Number (1)
CSW03395
License State (1)
RI
Taxonomy (1)
Social Worker, School · 1041S0200X
License Number (2)
CSW03395
License State (2)
RI
Taxonomy (2)
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 Moniz, LCSW?

The NPI number of Mallory Moniz, LCSW is 1487488482. It was assigned on August 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Mallory Moniz, LCSW?

Mallory Moniz, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number CSW03395.

Where does Mallory Moniz, LCSW practice?

The practice location is 101-103 Bacon St, Pawtucket, RI 02860. The office can be reached at 401-722-3560 (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 1487488482 directly on the NPPES registry website.

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