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JEDIDIAH DAVIDSON MALLOW
NPI 1023717691
Case Manager/Care Coordinator in Buckhannon, WV

Active since March 02, 2023
34 N KANAWHA ST, BUCKHANNON, WV 26201(304) 473-2250 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jedidiah Davidson Mallow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDIDIAH DAVIDSON MALLOW (NPI 1023717691) is an individual case manager/care coordinator provider in Buckhannon, West Virginia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1023717691
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJEDIDIAH DAVIDSON MALLOW
Location Address34 N KANAWHA STBuckhannon, WV 26201-2714
Mailing Address34 N Kanawha StBuckhannon, WV 26201-2714 · (304) 473-5600
Phone(304) 473-2250
Sole ProprietorNo
Enumeration DateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1023717691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

34 N KANAWHA ST, Buckhannon, WV 26201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATINA LYNN WESTFALL LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 619-1517
ANGELA LYNN BENEDUM
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COURTNEY HENTHORNE
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COMMUNITY CARE OF WEST VIRGINIA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 924-6262
JAMES JACKSON
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
SHAWNA COGAR LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
PATRICK STARKEY
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
LEAH MULLENS
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedidiah Mallow's NPI number?

The NPI number for Jedidiah Mallow is 1023717691. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Jedidiah Mallow located?

Jedidiah Mallow practices at 34 N Kanawha St, Buckhannon, WV 26201. The listed phone number is (304) 473-2250.

What is Jedidiah Mallow's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jedidiah Mallow was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.