AMY TYLER MALLORY-SMITH LICSW
NPI 1235377581
Social Worker - Clinical in Tacoma, WA
About Amy Tyler Mallory-smith Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY TYLER MALLORY-SMITH LICSW (NPI 1235377581) is an individual clinical provider in Tacoma, Washington and active in the NPI registry since January 2009. She has opted out of Medicare through February 17, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Amy Tyler Mallory-smith Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2023 through February 17, 2027.
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.
TACOMA, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
JOINT BASE LEWIS MCCHORD, WA 98431
TACOMA, WA 98431
TACOMA, WA 98431
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 Amy Mallory-smith's NPI number?
The NPI number for Amy Mallory-smith is 1235377581. It was assigned to this individual provider in the NPPES registry on January 24, 2009.
Where is Amy Mallory-smith located?
Amy Mallory-smith practices at 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (206) 851-7427.
What is Amy Mallory-smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Amy Mallory-smith enrolled in Medicare?
No. Amy Mallory-smith has opted out of Medicare through February 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Amy Mallory-smith was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amy Tyler Mallory-Smith, LICSW · NPI 1235377581
Clinical provider in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since January 24, 2009.
## Identity
- **NPI:** 1235377581 (Entity type: Individual)
- **Enumerated:** January 24, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, Tacoma, WA 98431-0001
- **Phone:** (206) 851-7427
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1235377581) · Data from the CMS NPPES public registry.