JOHN F MALLERY LISW
NPI 1487707238
Social Worker - Clinical in Mason, OH

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
4075 OLD WESTERN ROW RD, MASON, OH 45040(513) 536-4673(513) 536-0609 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John F Mallery Lisw NPPES

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

JOHN F MALLERY LISW (NPI 1487707238) is an individual clinical provider in Mason, Ohio, licensed in Indiana (34004747A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1487707238
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN F MALLERYCredential: LISW
Location Address4075 OLD WESTERN ROW RDMason, OH 45040-3104
Mailing Address4075 Old Western Row RdMason, OH 45040-3104 · (513) 536-4673 · Fax (513) 536-0609
Fax(513) 536-0609
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 5, 2015
✔ NPI 1487707238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34004747A
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 1440065 (OH)
4075 OLD WESTERN ROW RD, Mason, OH 45040

Other Identifiers 1

Other000000354542IN · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John F Mallery Lisw 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 ID4981791787
PECOS Enrollment IDI20200910002730
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.

Medicare Billing Reassignment

Medicare enrollment records show John Mallery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Psychologist (Clinical)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Social Worker (Clinical)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Psychiatric Hospital
4075 OLD WESTERN ROW RD
MASON, OH 45040
Nurse Practitioner (Psychiatric/Mental Health)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Nurse Practitioner (Psychiatric/Mental Health)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Counselor (Mental Health)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Psychiatry & Neurology (Psychiatry)
4075 OLD WESTERN ROW RD
MASON, OH 45040
Counselor (Professional)
4075 OLD WESTERN ROW RD
MASON, OH 45040

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 John Mallery's NPI number?

The NPI number for John Mallery is 1487707238. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is John Mallery located?

John Mallery practices at 4075 Old Western Row Rd, Mason, OH 45040. The listed phone number is (513) 536-4673.

What is John Mallery's specialty?

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

Is John Mallery enrolled in Medicare?

Yes. John Mallery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Mallery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mallery reassigns Medicare benefits to Psychological & Behavioral Consultants, LLC (Beachwood, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mallery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mallery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list John Mallery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Mallery was last updated on March 5, 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.