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

MALLORY TAYLOR TYREE LCSW
NPI 1205642766
Social Worker - Clinical in Fort Worth, TX

Active since December 09, 2024PECOS Enrolled
1300 S UNIVERSITY DR STE 306, FORT WORTH, TX 76107(844) 824-8775 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Jan 2, 2025, Dec 9, 2024 (3 updates tracked since 2024).

About Mallory Taylor Tyree Lcsw NPPES

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

MALLORY TAYLOR TYREE LCSW (NPI 1205642766) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (106823) 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 TAYLOR TYREECredential: LCSW
Location Address1300 S UNIVERSITY DR STE 306Fort Worth, TX 76107-5746
Mailing Address1300 S University Dr Ste 306Fort Worth, TX 76107-5746 · (844) 824-8775
Phone(844) 824-8775
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2024
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ 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
Licenses✔ Licensed in TX · 106823✔ 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.
1300 S UNIVERSITY DR STE 306, Fort Worth, TX 76107
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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 Taylor 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 76107 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 19

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

DR. LYCHENE NMANKAN WOLO SAAH LPC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
MRS. JENNIFER R LOYD MS, NCC, LPC
Counselor (Mental Health)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
KELLY L HUNTER PSYD
Psychologist
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
ERIKA ALESANDRA MARTINEZ LPC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
JAISHREE RAGHAVAN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
IAN KEITH PAGDILAO LPC, NCC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
AMBER GORDON LCSW
Social Worker (Clinical)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
DANIELLE MARIE MINGS-MCDANIEL LCSW
Social Worker (Clinical)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775

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 1300 S University Dr Ste 306, Fort Worth, TX 76107. The listed phone number is (844) 824-8775.

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 September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.