MALLORY MARIE CARLSON
NPI 1487154613
Social Worker in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

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: July 19, 2026.

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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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