AMY MALLUM MSW, LICSW
NPI 1447631452
Social Worker - Clinical in Grand Rapids, MN

Q: What is Amy Mallum's NPI number?

The NPI number for Amy Mallum is 1447631452. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Q: What is Amy Mallum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Mallum was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 16, 2015PECOS EnrolledAccepts Medicare Assignment

413 SE 13TH ST, GRAND RAPIDS, MN 55744(218) 999-9908(218) 999-9959 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amy Mallum Msw, Licsw NPPES

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

AMY MALLUM MSW, LICSW (NPI 1447631452) is an individual clinical provider in Grand Rapids, Minnesota, licensed in Minnesota (21852) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1447631452

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMY MALLUMCredential: MSW, LICSW

Location Address413 SE 13TH STGrand Rapids, MN 55744-0015

Mailing Address413 Se 13th StGrand Rapids, MN 55744-0015 · (218) 999-9908 · Fax (218) 999-9959

Phone(218) 999-9908

Fax(218) 999-9959

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 16, 2015

✔ NPI 1447631452 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 MN · 21852

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.

413 SE 13TH ST, Grand Rapids, MN 55744

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Mallum Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385955707

PECOS Enrollment IDI20150625001416

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 55744 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 11

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

MRS. SARAH ELIZABETH FRANZEN LICSW

Social Worker (Clinical)