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MALLORY TYREE LCSW
NPI 1205642766
Social Worker - Clinical in Durango, CO

Active since December 09, 2024PECOS Enrolled
1 MERCADO ST, DURANGO, CO 81301(970) 385-9850 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Dec 9, 2024 (2 updates tracked since 2024).

About Mallory Tyree Lcsw NPPES

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

MALLORY TYREE LCSW (NPI 1205642766) is an individual clinical provider in Durango, Colorado, licensed in Colorado (CSW09930803) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205642766
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALLORY TYREECredential: LCSW
Location Address1 MERCADO STDurango, CO 81301-7306
Mailing Address2951 Richard Dr Apt 6Durango, CO 81301-4374
Phone(970) 385-9850
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2024
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1205642766 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 CO · CSW09930803
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.
1 MERCADO ST, Durango, CO 81301
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Other Names 1

Former Name (1)Mallory Dyer Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Tyree Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466981378
PECOS Enrollment IDI20250122001660
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ARIA THERAPEUTICS & WELLNESS, LLC
Clinic/Center (Medical Specialty)
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
PETER E JAMIESON PA
Physician Assistant
1 MERCADO ST, SUITE 202
DURANGO, CO 81301
La Plata County (970) 247-5362
JENNIFER BERRIDGE LMT, NCMT
Massage Therapist
1 MERCADO ST, SUITE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
REBECCA MAULDIN RMT
Massage Therapist
1 MERCADO ST, STE 150
DURANGO, CO 81301
La Plata County (970) 375-2273
JAMES A SANTOS M.D.
Physical Medicine & Rehabilitation
1 MERCADO ST, STE 200
DURANGO, CO 81301
La Plata County (970) 382-9500
TOTAL HEALTHCARE
Family Medicine
1 MERCADO ST, SUITE 160
DURANGO, CO 81301
La Plata County (970) 385-9850
SPINE COLORADO PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1 MERCADO ST, STE 200
DURANGO, CO 81301
La Plata County (970) 382-9500
PROSTHETIC DEVELOPMENT AND RESEARCH, INC.
Prosthetic/Orthotic Supplier
1 MERCADO ST, STE. 203
DURANGO, CO 81301
La Plata County (970) 259-9258

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 Tyree's NPI number?

The NPI number for Mallory Tyree is 1205642766. It was assigned to this individual provider in the NPPES registry on December 9, 2024. The provider is also known as Mallory Dyer Lcsw.

Where is Mallory Tyree located?

Mallory Tyree practices at 1 Mercado St, Durango, CO 81301. The listed phone number is (970) 385-9850.

What is Mallory Tyree's specialty?

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

Is Mallory Tyree enrolled in Medicare?

Yes. Mallory Tyree is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Tyree was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.