JAMIE LEE MALLON
NPI 1629580782
Social Worker - Clinical in Southgate, MI

Q: What is Jamie Mallon's NPI number?

The NPI number for Jamie Mallon is 1629580782. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Q: What is Jamie Mallon'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 Jamie Mallon was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 30, 2017PECOS EnrolledAccepts Medicare Assignment

14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(313) 278-2327 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2024, Oct 30, 2017 (2 updates tracked since 2017).

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About Jamie Lee Mallon NPPES

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

JAMIE LEE MALLON (NPI 1629580782) is an individual clinical provider in Southgate, Michigan, licensed in Michigan (6801117507) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629580782

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJAMIE LEE MALLON

Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507

Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507

Phone(313) 278-2327

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 30, 2017

Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1629580782 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 MI · 6801117507

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 ListedTechnician, OtherTaxonomy 247200000X

14799 DIX TOLEDO RD, Southgate, MI 48195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jamie Lee Mallon 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 ID6002269834

PECOS Enrollment IDI20240129002719

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 Reassignments

Medicare enrollment records show Jamie Mallon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Downriver Mental Health Clinic PC

1.5 mi

Psychologist

20500 EUREKA RD, SUITE 200
Taylor, MI 48180

Reassigned Medicare billing, Michigan enrollment
451 clinicians in this Medicare group

NPI 1104930130 (734) 285-8282

Team Wellness Center

13 mi

Community Health

2925 RUSSELL ST
Detroit, MI 48207

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Team Mental Health Services Inc
116 clinicians in this Medicare group

NPI 1588855100 (313) 396-5300

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 48195 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 $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

MS. CELESTE PATRICIA ALLEN SST

Social Worker