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MALLORY MARIE CARLSON
NPI 1487154613
Social Worker in Boise, ID

Active since February 14, 2018
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2616(208) 381-3042 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Marie Carlson NPPES

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

MALLORY MARIE CARLSON (NPI 1487154613) is an individual social worker in Boise, Idaho, licensed in Idaho (LMSW-37154) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1487154613
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMALLORY MARIE CARLSON
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2616 · Fax (208) 381-3042
Phone(208) 381-2616
Fax(208) 381-3042
Sole ProprietorNo
Enumeration DateFebruary 14, 2018
✔ NPI 1487154613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LMSW-37154
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
190 E BANNOCK ST, Boise, ID 83712
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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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Carlson's NPI number?

The NPI number for Mallory Carlson is 1487154613. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Mallory Carlson located?

Mallory Carlson practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2616.

What is Mallory Carlson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mallory Carlson was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.