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CARL MICHAEL MALLORY-NICHOLS
NPI 1053995969
Case Manager/Care Coordinator in Mentor, OH

Active since May 06, 2021
8445 MUNSON RD, MENTOR, OH 44060(440) 352-7271 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carl Michael Mallory-nichols NPPES

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

CARL MICHAEL MALLORY-NICHOLS (NPI 1053995969) is an individual case manager/care coordinator provider in Mentor, Ohio and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053995969
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameCARL MICHAEL MALLORY-NICHOLS
Location Address8445 MUNSON RDMentor, OH 44060-2410
Mailing Address8445 Munson RdMentor, OH 44060-2410
Phone(440) 352-7271
Sole ProprietorNo
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1053995969 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.
8445 MUNSON RD, Mentor, OH 44060
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Other Identifiers 1

Medicaid2864093OH

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.

MERAV K. AUZENNE MA PC
Counselor (Professional)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
BROOKE KLUTTZ
Community/Behavioral Health
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
LISA KAY DITZEL LSW
Social Worker (School)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
JOSEPH NEAL
Case Manager/Care Coordinator
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
KAITLIN TROPF
Community/Behavioral Health
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
ALYSSA CAROTHERS MSSA, LSW
Social Worker
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
JACK BRIAN KERN MED, PC
Counselor (Mental Health)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700
TERRY CAMPBELL
Counselor (Mental Health)
8445 MUNSON RD
MENTOR, OH 44060
Lake County (440) 255-1700

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 Carl Mallory-nichols's NPI number?

The NPI number for Carl Mallory-nichols is 1053995969. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Carl Mallory-nichols located?

Carl Mallory-nichols practices at 8445 Munson Rd, Mentor, OH 44060. The listed phone number is (440) 352-7271.

What is Carl Mallory-nichols'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 Carl Mallory-nichols was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.