KATRINA MALLERY
NPI 1114857109
Social Worker - Clinical in Endwell, NY

Active since May 21, 2026
712 FARM TO MARKET RD, ENDWELL, NY 13760(607) 754-1400 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katrina Mallery NPPES

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

KATRINA MALLERY (NPI 1114857109) is an individual clinical provider in Endwell, New York, licensed in New York (092230) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1114857109
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATRINA MALLERY
Location Address712 FARM TO MARKET RDEndwell, NY 13760-1128
Mailing Address712 Farm To Market RdEndwell, NY 13760-1128 · (607) 754-1400
Sole ProprietorYes
Enumeration DateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1114857109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 092230
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
712 FARM TO MARKET RD, Endwell, NY 13760

Other Providers at the Same Location NPPES 3

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

Registered Nurse (School)
712 FARM TO MARKET RD
ENDWELL, NY 13760
Registered Nurse (School)
712 FARM TO MARKET RD
ENDWELL, NY 13760
Local Education Agency (LEA)
712 FARM TO MARKET RD
ENDWELL, NY 13760

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 Katrina Mallery's NPI number?

The NPI number for Katrina Mallery is 1114857109. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Katrina Mallery located?

Katrina Mallery practices at 712 Farm To Market Rd, Endwell, NY 13760. The listed phone number is (607) 754-1400.

What is Katrina Mallery's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katrina Mallery was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.