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MALLORY FAITH STATER
NPI 1154903615
Case Manager/Care Coordinator in Perry, OK

Active since April 24, 2021
502 N 14TH ST, PERRY, OK 73077(918) 308-5512 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Faith Stater NPPES

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

MALLORY FAITH STATER (NPI 1154903615) is an individual case manager/care coordinator provider in Perry, Oklahoma and active in the NPI registry since April 2021. She maintains a secondary practice location in Amarillo.

NPPES Registry Identity

NPI1154903615
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMALLORY FAITH STATER
Location Address502 N 14TH STPerry, OK 73077-5022
Mailing Address502 N 14th StPerry, OK 73077-5022 · (806) 681-3096
Phone(918) 308-5512
Sole ProprietorNo
Enumeration DateApril 24, 2021
NPPES CertifiedApril 24, 2021
✔ NPI 1154903615 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.
502 N 14TH ST, Perry, OK 73077
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Secondary Practice Location 1

Location 16807 Green Haven RdAmarillo, TX 79110-4128 · Phone (806) 681-3096

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.

GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
ASHLEY LYNN GARNER
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100
KIERSTEN MCCUTCHAN
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100
STEPHANIE MORRIS
Social Worker
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 984-5170
MAEGAN PHILLIPS
Case Manager/Care Coordinator
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
DIANA SAMARRIPA
Counselor (Addiction (Substance Use Disorder))
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 308-5512
GRAND LAKE MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 N 14TH ST
PERRY, OK 73077
Noble County (918) 305-5512
MISS LATOSHA MARIE SEAGROVES
Peer Specialist
502 N 14TH ST
PERRY, OK 73077
Noble County (844) 458-2100

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 Mallory Stater's NPI number?

The NPI number for Mallory Stater is 1154903615. It was assigned to this individual provider in the NPPES registry on April 24, 2021.

Where is Mallory Stater located?

Mallory Stater practices at 502 N 14th St, Perry, OK 73077. The listed phone number is (918) 308-5512.

What is Mallory Stater'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 Mallory Stater was last updated on April 24, 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.