Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE MALLORY
NPI 1164069902
Social Worker - Clinical in Harrisburg, PA

Active since November 27, 2019
4309 LINGLESTOWN RD, HARRISBURG, PA 17112(717) 412-4908 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jun 16, 2021, Nov 27, 2019 (3 updates tracked since 2019).

About Nicole Mallory NPPES

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

NICOLE MALLORY (NPI 1164069902) is an individual clinical provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (027715) and active in the NPI registry since November 2019. She maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1164069902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MALLORY
Location Address4309 LINGLESTOWN RDHarrisburg, PA 17112-8624
Mailing Address4309 Linglestown RdHarrisburg, PA 17112-8624 · (717) 557-8277
Sole ProprietorYes
Enumeration DateNovember 27, 2019
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1164069902 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 PA · 027715
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.
4309 LINGLESTOWN RD, Harrisburg, PA 17112

Secondary Practice Location 1

Location 1300 Mulberry St Ste 201Scranton, PA 18503-1233 · Phone (570) 955-5479

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
4309 LINGLESTOWN RD, SUITE 214
HARRISBURG, PA 17112
Orthopaedic Surgery (Sports Medicine)
4309 LINGLESTOWN RD, STE 203
HARRISBURG, PA 17112
Social Worker
4309 LINGLESTOWN RD, SUITE 214
HARRISBURG, PA 17112
Counselor
4309 LINGLESTOWN RD
HARRISBURG, PA 17112

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 Nicole Mallory's NPI number?

The NPI number for Nicole Mallory is 1164069902. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Nicole Mallory located?

Nicole Mallory practices at 4309 Linglestown Rd, Harrisburg, PA 17112. The listed phone number is (717) 412-4908.

What is Nicole Mallory'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 Nicole Mallory was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.